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Wisconsin rates for HCPCS K0849

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,114.71 / $6,114.71 / $6,114.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,861.33 / $5,503.24 / $7,232.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,177.50 / $16,703.05 / $16,703.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,504.27 / $8,535.08 / $11,288.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.23 / $660.23 / $1,963.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,087.00 / $3,087.00 / $24,663.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,623.95 / $10,638.75 / $13,298.44
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,454.88 / $6,114.71 / $9,172.07
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.46 / $406.46 / $7,342.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.07 / $6,161.32 / $7,342.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,199.01 / $3,052.36 / $6,814.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.94 / $55.00 / $6,118.33
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,454.88 / $6,114.71 / $9,172.07
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.46 / $406.46 / $7,342.01
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.68 / $1,835.54 / $2,383.31
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $3,087.00 / $6,161.32
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.63 / $3,087.00 / $3,087.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,162.10 / $3,052.36 / $6,486.30