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Michigan 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
Facility
Modifier
Low / Median / High Price
$1,663.50 / $1,663.50 / $1,663.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,663.50 / $1,663.50 / $3,424.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$993.76 / $12,688.04 / $16,917.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.43 / $2,509.92 / $4,755.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.45 / $349.54 / $3,495.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,915.00 / $3,915.00 / $4,893.75
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,663.50 / $1,663.50 / $3,679.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.76 / $1,565.64 / $3,540.72