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Wisconsin 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
$1,659.59 / $1,659.59 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,467.37 / $3,467.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $10,715.19 / $17,378.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $4,365.16 / $5,011.87
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $1,659.59 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $1,659.59 / $3,019.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,659.59 / $4,466.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $2,754.23 / $4,786.30
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $100.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $5,128.61 / $5,128.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $524.81 / $2,089.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,548.82 / $4,466.84