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Missouri 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
$1,905.46 / $2,691.53 / $3,162.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,884.03 / $3,548.13
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
$316.23 / $2,290.87 / $2,691.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $2,398.83 / $3,981.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,698.24 / $3,467.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $416.87 / $2,570.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,479.11 / $3,162.28