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Hawaii rates for HCPCS K0855

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

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.40 / $7,551.92 / $10,102.62
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,964.60 / $11,481.25 / $14,401.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.51 / $910.51 / $8,649.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,120.03 / $5,120.03 / $7,749.33
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,964.60 / $10,964.60 / $10,964.60