go back

Michigan 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
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,691.53 / $3,162.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $13,489.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $3,467.37 / $3,630.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $2,691.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,691.53 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $2,691.53 / $4,466.84
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $3,019.95 / $5,370.32
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $2,691.53 / $2,691.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $363.08 / $2,238.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,905.46 / $2,754.23