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Washington 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
$1,665.40 / $1,978.32 / $3,165.39
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $114.10 / $3,307.70
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,559.22 / $2,224.88 / $4,546.60
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
$296.08 / $2,592.00 / $3,373.90
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,225.92 / $2,225.92 / $2,225.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,225.92 / $2,225.92 / $2,225.92
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.15 / $347.15 / $347.15
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.71 / $3,241.70 / $6,997.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.45 / $403.45 / $491.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,277.72 / $1,561.76 / $2,453.46