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Ohio rates for HCPCS K0813

Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,702.47 / $1,702.47 / $1,702.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,702.47 / $1,756.08 / $2,666.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,171.16 / $2,171.19 / $4,327.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.24 / $313.20 / $2,455.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $281.88 / $2,455.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,918.38 / $2,225.09 / $3,501.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,891.33 / $2,225.09 / $3,768.75
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,918.38 / $2,225.09 / $2,225.09
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,891.33 / $2,225.09 / $2,225.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.42 / $291.04 / $1,818.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.12 / $1,203.28 / $1,894.06