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Minnesota 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 / $3,362.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,762.86 / $3,362.31 / $4,051.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,774.68 / $3,938.80 / $7,056.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,964.87 / $6,206.09 / $6,680.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,621.85 / $3,621.85 / $12,297.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,707.50 / $5,764.58 / $7,248.53
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,698.68 / $8,698.68 / $9,682.71
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,707.50 / $5,707.50 / $5,707.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,936.64 / $3,282.33 / $5,237.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,234.80 / $1,999.76 / $4,254.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,234.80 / $1,948.21 / $4,213.76