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Idaho 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
Facility
Modifier
Low / Median / High Price
$2,099.67 / $2,099.67 / $2,099.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,099.67 / $2,199.88 / $4,291.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,416.31 / $2,416.31 / $2,416.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $2,235.60 / $2,416.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.02 / $2,437.27 / $4,291.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.41 / $224.64 / $1,646.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,228.59 / $1,458.04 / $2,807.60