go back

Alaska rates for HCPCS K0855

Power wheelchair, group 3 extra heavy-duty, captain's chair, patient weight capacity 601 pounds or more

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,219.84 / $17,219.84 / $17,219.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,102.62 / $10,102.62 / $10,102.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,587.24 / $10,102.62 / $10,102.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,191.44 / $9,260.70 / $13,775.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,562.46 / $1,562.46 / $1,644.69
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,105.10 / $13,675.30 / $35,108.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,191.44 / $9,649.01 / $13,619.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,587.24 / $10,102.62 / $10,102.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,470.12 / $10,484.40 / $19,145.43