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Pennsylvania 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
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,700.00 / $3,915.00 / $4,893.75
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,914.10 / $3,914.10 / $3,914.10
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,663.50 / $1,663.50 / $3,424.84
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,700.00 / $3,915.00 / $4,893.75
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,640.11 / $3,640.11 / $3,640.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.80 / $1,696.11 / $4,425.89