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Pennsylvania rates for HCPCS K0821

Power Wheelchair Group 2 Standard Portable Captains Chair Patient Weight Capacity Up To And Including 300 Pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,686.95 / $2,128.19 / $2,610.58
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.47 / $1,962.78 / $2,129.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,592.00 / $2,592.00 / $2,592.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,203.19 / $2,592.00 / $3,993.75
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,034.97 / $3,737.87 / $3,737.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,785.47 / $2,222.50 / $3,638.46
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,592.00 / $2,592.00 / $2,592.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.08 / $2,592.00 / $4,992.18
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,076.16 / $3,680.20 / $3,785.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,277.72 / $1,724.66 / $3,157.60