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Pennsylvania rates for HCPCS K0108

Wheelchair Component Or Accessory Not Otherwise Specified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.00 / $133.00 / $137.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.57 / $228.57 / $228.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.89 / $99.89 / $228.57
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.10 / $133.22 / $546.62
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.43 / $133.00 / $496.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.57 / $228.57 / $228.57
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.89 / $99.89 / $228.57