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Michigan 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
$12,523.52 / $12,523.52 / $12,523.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,833.77 / $12,523.52 / $13,104.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,871.64 / $62,200.40 / $82,933.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,261.98 / $12,951.94 / $23,313.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.44 / $1,069.05 / $6,732.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,315.75 / $1,315.75 / $12,849.12
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 / $19,068.75
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,104.58 / $8,833.77 / $24,670.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.69 / $2,726.61 / $11,821.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,640.59 / $5,149.04 / $7,296.19