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Virginia 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
$2,193.75 / $2,193.75 / $2,193.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,108.57 / $2,193.75 / $3,187.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,852.72 / $2,852.72 / $2,852.72
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,599.10 / $3,599.10 / $3,599.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,434.80 / $2,671.66 / $2,671.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.45 / $2,671.66 / $2,671.66
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.72 / $2,391.12 / $2,701.97
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,692.10 / $3,692.10 / $3,692.10
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.63 / $489.67 / $4,219.56
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.63 / $489.67 / $4,219.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.66 / $1,700.40 / $2,689.34