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South Carolina 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
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,505.00 / $3,132.00 / $3,948.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,193.89 / $4,193.89 / $4,193.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,915.00 / $3,915.00 / $4,893.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,663.50 / $1,663.50 / $2,062.73
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,109.80 / $4,109.80 / $4,109.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.76 / $1,552.60 / $3,319.43