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New York 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
Professional
Modifier
Low / Median / High Price
$3,473.99 / $3,473.99 / $3,717.91
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.41 / $391.41 / $391.41
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.41 / $391.41 / $391.41
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
$3,915.00 / $3,996.00 / $4,893.75
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,393.52 / $3,393.52 / $3,924.39
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,996.00 / $3,996.00 / $3,996.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,915.00 / $3,996.00 / $4,893.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.20 / $1,663.50 / $2,877.12
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,924.39 / $3,924.39 / $3,924.39
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,393.52 / $3,924.39 / $3,924.39