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Pennsylvania rates for HCPCS K0852

Power wheelchair, group 3 very heavy-duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,243.36 / $6,721.50 / $8,401.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,494.46 / $8,529.00 / $8,529.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,109.46 / $5,109.46 / $5,109.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,343.04 / $4,343.04 / $18,539.06
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,243.59 / $6,871.54 / $8,401.87
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,109.46 / $5,109.46 / $5,109.46
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,343.04 / $5,109.46 / $18,539.06
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,586.82 / $12,177.10 / $12,177.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,993.54 / $4,255.04 / $7,091.73