go back

Wisconsin 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
$2,788.80 / $2,788.80 / $2,788.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800.38 / $2,686.82 / $3,378.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,497.60 / $6,365.63 / $6,365.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,852.72 / $3,252.77 / $4,302.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.58 / $246.58 / $748.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,434.80 / $2,671.66 / $10,407.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,270.91 / $4,515.00 / $5,643.75
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.11 / $419.71 / $4,183.20
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.30 / $281.30 / $419.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $566.74 / $4,264.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.25 / $1,968.76 / $3,535.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.09 / $55.00 / $1,665.25
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.11 / $2,391.12 / $4,183.20
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.30 / $281.30 / $419.71
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.52 / $797.48 / $1,035.47
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $2,434.80 / $4,264.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.64 / $2,671.66 / $2,671.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.28 / $1,936.85 / $3,449.10