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North Dakota 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
$12,667.03 / $12,667.03 / $12,667.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,440.17 / $10,440.17 / $12,667.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,884.47 / $23,269.40 / $23,671.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,182.50 / $20,384.33 / $25,631.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,285.70 / $11,688.69 / $19,361.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,624.10 / $5,925.14 / $9,248.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,281.36 / $5,742.38 / $9,248.20