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Connecticut rates for HCPCS K0849

Power wheelchair, group 3 standard, captain's chair, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,402.63 / $7,152.22 / $7,312.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,504.27 / $4,504.27 / $5,856.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,087.00 / $3,087.00 / $3,087.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,623.95 / $3,087.00 / $3,790.53
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,064.62 / $4,064.62 / $4,064.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,329.41 / $3,052.36 / $3,969.60