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Missouri 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
$1,803.02 / $2,591.85 / $3,530.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,929.08 / $2,583.84 / $2,835.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,253.42 / $2,416.31 / $2,416.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.01 / $2,416.31 / $2,416.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.97 / $1,939.74 / $3,530.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.04 / $1,715.36 / $3,075.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.24 / $1,502.52 / $3,102.54