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Maryland 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
$6,191.44 / $8,453.37 / $11,521.20
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,381.38 / $11,381.38 / $11,381.40
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 / $8,587.24 / $10,102.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,197.97 / $12,197.97 / $12,197.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,852.25 / $5,470.12 / $8,674.11
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,071.90 / $10,495.50 / $13,979.87