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Rhode Island 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
$2,389.54 / $3,221.19 / $3,408.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.47 / $409.97 / $409.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,621.85 / $3,621.85 / $3,621.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,078.57 / $3,621.85 / $3,621.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.40 / $2,075.48 / $3,499.47