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Washington 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
$2,454.71 / $2,818.38 / $5,128.61
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
$436.52 / $3,090.30 / $3,630.78
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $4,168.69 / $4,168.69
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $4,168.69 / $4,168.69
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $489.78 / $4,897.79
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $562.34 / $4,786.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $645.65 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $371.54 / $3,311.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,041.74 / $3,548.13