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Michigan rates for HCPCS K0821

Power wheelchair, group 2 standard, portable, captain's chair, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,019.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,454.71 / $3,019.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $12,882.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $2,630.27 / $3,548.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $2,691.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,570.40 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $2,570.40 / $3,981.07
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $3,019.95 / $5,128.61
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $3,090.30
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $2,570.40 / $3,388.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $346.74 / $2,089.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,778.28 / $2,511.89