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Pennsylvania 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
$1,414.02 / $1,949.04 / $2,480.57
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.86 / $2,085.73 / $2,085.73
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
$2,053.86 / $2,235.60 / $3,982.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,414.02 / $1,949.04 / $2,512.12
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,253.42 / $2,416.31 / $2,416.31
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.01 / $2,416.31 / $4,978.13
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,871.65 / $3,539.10 / $3,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.04 / $1,543.94 / $3,038.10