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Washington rates for HCPCS K0108

Wheelchair component or accessory, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.43 / $197.04 / $496.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.43 / $80.00 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.40 / $103.68 / $115.20
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $72.00 / $85.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,000.00 / $4,000.00 / $79,999.20
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,000.00 / $4,000.00 / $4,000.00