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Washington 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
$1,722.25 / $2,061.00 / $3,378.33
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $361.66 / $4,264.28
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.20 / $2,852.72 / $5,141.14
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
$318.45 / $2,270.91 / $3,645.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.66 / $361.66 / $361.66
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.58 / $3,335.50 / $4,137.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.88 / $428.88 / $522.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,361.32 / $1,660.16 / $2,614.07