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Illinois rates for HCPCS K0814

Power Wheelchair Group 1 Standard Portable Captains Chair Patient Weight Capacity Up To And Including 300 Pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,708.66 / $2,139.00 / $3,013.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.39 / $237.39 / $237.39
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
$288.01 / $2,416.31 / $3,982.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $200.00 / $458.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.44 / $474.78 / $2,555.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,228.59 / $1,676.70 / $2,669.28