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Wisconsin rates for HCPCS K0853

Power Wheelchair Group 3 Very Heavy Duty Captainchair Patient Weight Capacity 451 To 600 Pounds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,756.37 / $8,756.37 / $8,756.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,529.50 / $7,880.73 / $10,357.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,142.30 / $23,918.99 / $23,918.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,450.06 / $12,222.34 / $16,427.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.46 / $945.46 / $2,812.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,351.96 / $8,072.81 / $35,323.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,861.89 / $15,236.25 / $19,045.31
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,947.43 / $8,756.37 / $13,134.56
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.04 / $582.04 / $10,513.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $8,761.54 / $13,134.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,148.93 / $4,371.04 / $9,758.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.08 / $55.00 / $8,556.20
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,947.43 / $8,756.37 / $13,134.56
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.04 / $582.04 / $10,513.85
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,475.94 / $2,628.28 / $3,412.63
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $6,351.96 / $8,823.10
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.85 / $8,072.81 / $8,072.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,909.12 / $4,371.04 / $9,288.50