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Ohio 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
$1,867.69 / $1,867.69 / $1,867.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,867.69 / $2,159.46 / $3,514.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,852.72 / $3,164.70 / $6,307.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.32 / $349.76 / $3,130.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.07 / $349.76 / $3,221.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,434.80 / $2,671.66 / $4,264.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,270.91 / $2,671.66 / $2,850.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,434.80 / $2,671.66 / $2,671.66
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,270.91 / $2,671.66 / $2,671.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.84 / $424.20 / $2,651.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.05 / $1,657.32 / $2,759.28