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Pennsylvania rates for HCPCS K0822

Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,885.57 / $2,390.91 / $3,155.08
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.73 / $2,204.86 / $2,278.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,446.40 / $2,446.40 / $3,210.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,070.00 / $2,446.40 / $4,372.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,885.57 / $2,395.19 / $3,157.12
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,446.40 / $2,446.40 / $3,210.83
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.08 / $2,446.40 / $5,465.63
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,717.68 / $4,134.10 / $4,214.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,383.75 / $1,914.34 / $3,797.63