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Pennsylvania rates for HCPCS K0669

Wheelchair accessory, wheelchair seat or back cushion, does not meet specific code criteria or no written coding verification from DME PDAC

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.15 / $67.15 / $80.83
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.21 / $87.38 / $87.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.72 / $30.72 / $30.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.11 / $30.72 / $869.25
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.17 / $1,042.17 / $1,042.17
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $67.15 / $80.83
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.72 / $30.72 / $30.72
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.11 / $30.72 / $1,086.56
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.00 / $330.00 / $330.00