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Michigan rates for HCPCS K0828

Power wheelchair, group 2 extra heavy-duty, sling/solid seat/back, patient weight capacity 601 pounds or more

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,835.92 / $8,835.92 / $8,835.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,099.72 / $8,835.92 / $9,026.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,383.60 / $43,200.95 / $57,601.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.51 / $8,995.70 / $16,192.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $742.50 / $9,093.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.85 / $913.85 / $7,710.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,860.06 / $7,860.06 / $7,860.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.44 / $7,860.06 / $13,008.75
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,448.88 / $7,529.23 / $17,134.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.44 / $2,068.72 / $8,730.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,675.87 / $3,837.36 / $6,274.56