go back

Pennsylvania rates for HCPCS K0816

Power Wheelchair Group 1 Standard Captains Chair Patient Weight Capacity Up To And Including 300 Pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,542.04 / $2,039.52 / $2,657.77
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.08 / $1,975.10 / $2,127.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,254.90 / $2,254.90 / $2,387.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,916.67 / $2,254.90 / $3,993.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,542.04 / $2,039.52 / $2,655.19
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,254.90 / $2,254.90 / $2,387.82
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.95 / $2,254.90 / $4,992.18
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,131.68 / $3,703.30 / $3,787.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,276.35 / $1,742.99 / $3,562.38