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Texas 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
$8,080.06 / $10,061.95 / $13,568.41
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,607.13 / $11,607.13 / $11,607.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,694.63 / $10,694.63 / $11,324.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.04 / $10,694.63 / $10,694.63
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $11,688.69 / $11,688.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,554.24 / $10,824.23 / $12,263.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,601.78 / $1,741.07 / $13,626.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,554.24 / $10,589.09 / $11,607.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.51 / $10,694.63 / $10,694.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,101.70 / $5,353.92 / $8,007.66
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,544.87 / $8,544.87 / $11,110.40