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Wisconsin rates for HCPCS K0840

Power Wheelchair Group 2 Extra Heavy Duty Single Power Option Sling/Solid Seat/Back Patient Weight Capacity 601 Pounds Or More

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,521.52 / $8,521.52 / $8,521.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,357.95 / $7,669.37 / $10,054.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,445.10 / $20,830.08 / $20,830.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,647.70 / $10,643.94 / $14,306.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.86 / $806.86 / $2,449.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,938.13 / $8,391.94 / $30,584.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,133.15 / $13,267.50 / $16,584.38
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,104.06 / $8,521.52 / $12,782.28
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.86 / $759.86 / $9,156.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.36 / $8,521.52 / $11,518.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,520.24 / $5,451.92 / $10,560.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.61 / $55.00 / $7,630.07
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,104.06 / $8,521.52 / $12,782.28
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.86 / $759.86 / $9,156.08
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,277.84 / $2,676.40 / $3,475.11
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $5,938.13 / $11,518.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.52 / $8,391.94 / $8,391.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,284.61 / $5,451.92 / $9,534.00