go back

Pennsylvania 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
Professional
Modifier
Low / Median / High Price
$1,977.60 / $2,938.86 / $3,673.58
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,846.40 / $3,282.33 / $3,282.33
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
$3,078.57 / $3,621.85 / $5,707.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,349.16 / $2,938.86 / $4,269.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,643.20 / $3,621.85 / $3,621.85
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.69 / $3,621.85 / $7,134.38
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,016.30 / $5,337.00 / $5,337.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,825.34 / $2,099.67 / $4,241.53