go back

South Carolina 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
$3,095.46 / $3,095.46 / $3,918.48
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 / $3,621.85 / $3,621.85
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,961.45 / $3,095.46 / $3,918.48
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,534.50 / $4,534.50 / $4,534.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.83 / $1,510.82 / $2,797.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,423.20 / $1,852.20 / $2,931.23