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Minnesota rates for HCPCS K0854

Power wheelchair, group 3 extra heavy-duty, sling/solid seat/back, patient weight capacity 601 pounds or more

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,440.17 / $10,440.17 / $10,440.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,097.93 / $10,440.17 / $12,667.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,348.20 / $13,928.56 / $19,512.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,586.59 / $16,983.23 / $18,281.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,694.63 / $10,694.63 / $43,738.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,182.50 / $20,384.33 / $25,631.78
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,939.89 / $30,939.89 / $34,439.98
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,182.50 / $20,182.50 / $20,182.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,554.24 / $11,607.14 / $17,410.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,281.36 / $5,506.70 / $11,655.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,281.36 / $6,251.96 / $18,091.90