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North Carolina 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
$1,949.84 / $2,691.53 / $2,691.53
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
$288.40 / $2,398.83 / $5,011.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $2,691.53 / $3,019.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $436.52 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,479.11 / $2,454.71
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,715.35 / $3,715.35