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Ohio 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
Facility
Modifier
Low / Median / High Price
$4,929.32 / $4,929.32 / $4,929.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,821.72 / $4,929.32 / $6,464.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,318.59 / $5,080.70 / $11,668.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.19 / $917.75 / $6,194.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.61 / $917.75 / $5,781.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,087.00 / $3,087.00 / $6,161.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,623.95 / $3,087.00 / $7,630.90
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,087.00 / $3,087.00 / $4,435.68
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,623.95 / $3,087.00 / $3,087.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.32 / $612.96 / $4,214.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,952.24 / $2,904.64 / $3,977.68