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Pennsylvania 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
Professional
Modifier
Low / Median / High Price
$2,698.90 / $5,593.38 / $6,991.73
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,404.42 / $7,097.53 / $7,097.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,145.60 / $6,539.60 / $6,539.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,822.00 / $5,558.66 / $12,341.25
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,104.30 / $7,104.30 / $7,104.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,698.90 / $5,718.24 / $7,007.22
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,145.60 / $6,539.60 / $6,539.60
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.06 / $6,539.60 / $15,426.56
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,481.14 / $10,133.29 / $10,133.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,491.06 / $3,540.88 / $5,901.47