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Washington 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 / $3,424.84
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $150.54
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,935.56 / $3,473.99 / $3,914.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,915.00 / $3,996.00 / $4,893.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,505.02 / $3,131.28 / $6,262.56
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.80 / $1,330.80 / $2,218.00