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Virginia 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
$1,974.38 / $1,974.38 / $1,974.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,877.68 / $1,974.38 / $2,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,583.84 / $2,583.84 / $2,583.84
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,341.25 / $3,341.25 / $3,573.24
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.25 / $2,099.67 / $2,372.64
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,242.20 / $3,242.20 / $3,242.20
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.76 / $436.59 / $3,705.36
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.76 / $436.59 / $3,705.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.89 / $1,511.44 / $2,246.08