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California rates for HCPCS K0831

Power wheelchair, group 2 standard, seat elevator, captain's chair, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,663.50 / $1,663.50 / $1,713.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.82 / $291.20 / $291.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,912.10 / $3,473.99 / $3,627.23
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,996.00 / $3,996.00 / $3,996.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,700.00 / $3,915.00 / $4,893.75
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,696.92 / $4,696.92 / $5,636.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.07 / $6,026.51 / $6,026.51
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $80.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,663.50 / $1,663.50 / $3,424.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,595.57 / $3,700.00 / $3,996.00
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,696.92 / $4,696.92 / $4,696.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.80 / $1,437.26 / $3,319.43