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Michigan rates for HCPCS K0851

Power wheelchair, group 3 heavy-duty, captain's chair, patient weight capacity 301 to 450 pounds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,106.64 / $8,106.64 / $8,106.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,718.24 / $8,106.64 / $8,482.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,153.47 / $40,263.18 / $53,684.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.90 / $10,619.69 / $15,091.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.96 / $692.01 / $9,342.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.70 / $851.70 / $8,517.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,539.60 / $6,539.60 / $6,539.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.44 / $6,539.60 / $12,341.25
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,795.54 / $6,570.13 / $15,969.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.16 / $1,764.92 / $7,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,356.61 / $3,273.80 / $4,773.39