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Pennsylvania 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
Professional
Modifier
Low / Median / High Price
$3,331.71 / $6,904.74 / $8,630.93
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,671.52 / $8,761.53 / $8,761.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,351.96 / $8,072.81 / $8,072.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,174.00 / $6,861.89 / $15,236.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,331.71 / $7,058.87 / $8,650.11
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,351.96 / $8,072.81 / $8,072.81
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.29 / $8,072.81 / $19,045.31
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,766.31 / $12,509.10 / $12,509.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,914.03 / $4,371.04 / $7,901.28