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Wisconsin 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
$7,731.43 / $7,731.43 / $7,731.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,529.75 / $6,868.76 / $8,501.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,423.10 / $20,790.04 / $20,790.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,076.80 / $10,623.48 / $14,050.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.32 / $805.32 / $2,444.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,451.66 / $7,860.06 / $29,980.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,681.05 / $13,008.75 / $16,260.94
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.76 / $4,697.60 / $11,597.15
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.66 / $552.66 / $1,370.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.76 / $4,697.60 / $8,377.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,970.07 / $4,158.09 / $9,248.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.41 / $55.00 / $5,853.59
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.76 / $4,697.60 / $11,597.15
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.66 / $552.66 / $1,370.77
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.40 / $2,391.64 / $3,105.37
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $5,451.66 / $8,377.54
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.44 / $7,860.06 / $7,860.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,970.07 / $4,158.09 / $8,910.20