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Rhode Island 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
$1,945.49 / $2,622.62 / $2,775.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.72 / $333.79 / $333.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,671.66 / $2,671.66 / $2,671.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,270.91 / $2,671.66 / $2,671.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.04 / $1,700.40 / $2,834.00