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North Carolina 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
Professional
Modifier
Low / Median / High Price
$6,554.24 / $12,196.32 / $12,196.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,694.63 / $10,694.63 / $10,694.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.04 / $10,694.63 / $25,228.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,554.24 / $12,196.32 / $13,720.86
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,120.50 / $10,120.50 / $10,120.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,413.13 / $5,691.19 / $9,084.53
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $11,688.69 / $11,688.69