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Delaware 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
$5,062.81 / $5,581.73 / $6,027.15
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 / $2,623.95 / $3,790.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,954.15 / $3,052.36 / $3,729.08