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Pennsylvania 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
Professional
Modifier
Low / Median / High Price
$3,163.46 / $5,657.34 / $7,071.68
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,480.54 / $6,890.33 / $6,890.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,451.66 / $7,860.06 / $7,860.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,580.00 / $6,681.05 / $13,008.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,163.46 / $5,940.21 / $7,086.14
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,451.66 / $7,860.06 / $7,860.06
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.99 / $7,860.06 / $16,260.94
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,424.63 / $10,276.00 / $11,044.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,657.05 / $4,063.74 / $7,384.68