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Michigan rates for HCPCS K0841

Power Wheelchair Group 2 Standard Multiple Poweroption Sling/Solid Seat/Back Patient Weight Capicity Up To And Including 300 Pounds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,273.60 / $4,273.60 / $4,273.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,632.85 / $3,782.40 / $4,273.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.47 / $18,647.00 / $24,862.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.24 / $4,918.27 / $6,989.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.49 / $428.62 / $4,326.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.45 / $394.45 / $3,944.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,626.76 / $3,626.76 / $3,626.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.52 / $3,626.76 / $5,715.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,503.06 / $3,782.40 / $7,395.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.21 / $502.17 / $4,565.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.94 / $2,008.42 / $3,126.64