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Illinois rates for HCPCS K0853

Power wheelchair, group 3 very heavy-duty, captain's chair, patient weight capacity 451 to 600 pounds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $6,456.54 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,456.54 / $7,585.78 / $9,549.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $8,128.31 / $8,128.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $8,128.31 / $15,135.61
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $199.53 / $199.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,025.60 / $6,025.60 / $6,025.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,380.38 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $4,365.16 / $7,244.36