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Iowa 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
Facility
Modifier
Low / Median / High Price
$9,862.27 / $9,862.27 / $11,965.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,037.84 / $9,072.95 / $13,619.33
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
$1,220.52 / $19,068.75 / $23,835.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,565.44 / $1,565.44 / $13,132.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.59 / $11,041.73 / $19,113.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,298.92 / $5,470.12 / $14,980.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,113.34 / $2,367.17 / $4,276.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,948.31 / $2,260.67 / $4,276.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,649.60 / $5,470.12 / $14,980.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,693.75 / $14,802.21 / $14,802.21