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Pennsylvania rates for HCPCS K0012

Lightweight portable motorized/power wheelchair

Facilitymedian $1,318 · 10th–90th $191–$2,2910%20%10th90th$1,318Professionalmedian $2,399 · 10th–90th $1,413–$3,0200%20%10th90th$2,399$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $2,398.83 / $2,691.53
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $4,365.16 / $4,365.16
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $1,905.46 / $5,248.07
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,089.30 / $2,511.89
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $2,398.83 / $2,691.53
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $2,570.40 / $4,265.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $954.99 / $2,187.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,548.82 / $3,311.31