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Iowa rates for HCPCS K0842

Power wheelchair, group 2 standard, multiple power option, captain's chair, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,362.31 / $3,362.31 / $4,051.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,349.16 / $3,085.80 / $4,643.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,643.20 / $3,621.85 / $3,621.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.69 / $5,707.50 / $7,134.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.70 / $533.70 / $7,011.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.20 / $4,643.18 / $8,748.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,699.24 / $2,398.92 / $5,402.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.85 / $699.85 / $1,654.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.20 / $836.89 / $1,654.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,852.20 / $2,006.55 / $5,072.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,523.60 / $5,726.07 / $5,726.07