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Pennsylvania rates for HCPCS K0849

Power Wheelchair Group 3 Standard Captains Chairpatient Weight Capacity Up To And Including 300 Pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,326.59 / $4,821.72 / $6,027.15
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,658.82 / $6,118.33 / $6,118.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,087.00 / $3,087.00 / $4,435.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,623.95 / $3,087.00 / $10,638.75
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,124.27 / $6,124.27 / $6,883.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,044.20 / $4,918.14 / $6,027.15
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,087.00 / $3,087.00 / $4,435.68
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,623.95 / $3,087.00 / $13,298.44
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,725.05 / $8,735.29 / $8,735.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,147.46 / $3,052.36 / $5,380.31