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Pennsylvania rates for HCPCS K0839

Power Wheelchair Group 2 Very Heavy Duty Single Power Option Sling/Solid Seat/Back Patient Weight Capacity 451 To 600 Pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,870.89 / $4,391.01 / $5,482.13
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.45 / $4,247.89 / $4,969.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,899.36 / $5,470.13 / $5,470.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,649.60 / $5,470.13 / $8,643.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,505.56 / $4,391.01 / $5,482.13
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,899.36 / $5,470.13 / $5,470.13
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.96 / $5,470.13 / $10,804.69
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,830.45 / $7,964.80 / $7,964.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,713.48 / $3,098.16 / $6,808.44