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Arizona rates for HCPCS K0814

Power wheelchair, group 1 standard, portable, captain's chair, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,137.96 / $2,691.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $123.03 / $186.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $3,019.95 / $6,606.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $2,398.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $2,398.83 / $3,981.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $2,137.96 / $3,388.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,445.44 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $338.84 / $2,238.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,445.44 / $2,818.38