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Wisconsin rates for HCPCS K0843

Power Wheelchair Group 2 Heavy Duty Multiple Power Option Sling/Solid Seat/Back Patient Weight Capacity Up To And Including 300 Pounds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,456.83 / $4,456.83 / $4,456.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,802.55 / $4,011.15 / $5,259.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,844.80 / $10,637.54 / $10,637.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,497.21 / $5,435.66 / $7,189.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.05 / $412.05 / $1,250.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,165.54 / $4,303.28 / $15,616.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,657.79 / $6,776.25 / $8,470.31
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,117.23 / $4,456.83 / $6,685.25
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.97 / $415.97 / $4,675.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.97 / $4,456.83 / $6,305.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,841.44 / $2,946.30 / $5,524.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.61 / $55.00 / $3,896.53
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,117.23 / $4,456.83 / $6,685.25
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.97 / $415.97 / $4,675.85
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.58 / $1,366.99 / $1,774.94
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $3,165.54 / $6,305.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.38 / $4,303.28 / $4,303.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,799.91 / $2,911.36 / $5,398.58