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Michigan 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
$2,852.00 / $2,852.00 / $2,852.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,690.21 / $2,540.10 / $2,852.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.55 / $11,970.46 / $15,960.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.87 / $3,157.29 / $4,486.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.33 / $213.36 / $2,712.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.22 / $253.22 / $2,532.16
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 / $2,416.31 / $3,982.50
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,690.21 / $2,626.83 / $4,747.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.76 / $361.30 / $3,284.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.84 / $1,676.70 / $2,807.60