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Pennsylvania 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
$6,606.93 / $9,549.93 / $11,481.54
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $10,232.93 / $11,481.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $10,715.19 / $10,715.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,120.11 / $9,120.11 / $19,952.62
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,964.78 / $10,964.78 / $13,489.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,244.36 / $9,549.93 / $12,302.69
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,912.51 / $8,912.51 / $16,595.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,148.15 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $5,754.40 / $9,772.37