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Pennsylvania 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
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,238.72 / $2,884.03
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $1,949.84 / $2,137.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,570.40 / $3,981.07
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $3,019.95
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,715.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,238.72 / $3,019.95
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,715.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $380.19 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,584.89 / $3,019.95