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Arizona 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
$9,079.54 / $12,499.64 / $12,499.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.06 / $506.06 / $632.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,868.14 / $13,157.52 / $21,874.38
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
$1,162.40 / $10,102.62 / $23,835.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,191.44 / $9,937.04 / $13,749.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,836.39 / $4,649.60 / $8,525.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,836.39 / $4,649.60 / $8,525.29