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Idaho rates for HCPCS K0815

Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,398.83 / $4,570.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $6,165.95 / $8,317.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $831.76 / $5,754.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $2,290.87 / $2,691.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $2,754.23 / $4,570.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,398.83 / $5,370.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $245.47 / $2,454.71
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $3,548.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $257.04 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,659.59 / $2,137.96