go back

Arizona rates for HCPCS K0841

Power wheelchair, group 2 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,235.94 / $3,715.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $181.97 / $275.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $4,570.88 / $10,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $3,630.78 / $5,754.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $3,311.31 / $4,897.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,041.74 / $4,570.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $501.19 / $3,311.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,995.26 / $4,570.88