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Michigan rates for HCPCS K0816

Power wheelchair, group 1 standard, captain's chair, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,030.32 / $3,030.32 / $3,030.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,767.87 / $2,654.03 / $3,030.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.64 / $12,520.72 / $16,694.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.03 / $3,302.43 / $4,692.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.20 / $222.81 / $2,668.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.86 / $264.86 / $2,648.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,254.90 / $2,254.90 / $3,052.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.70 / $2,254.90 / $3,230.73
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,951.74 / $2,864.65 / $4,966.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.64 / $384.51 / $3,495.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.50 / $1,722.45 / $2,633.68