go back

Minnesota rates for HCPCS K0855

Power Wheelchair Group 3 Extra Heavy Duty Captains Chair Patient Weight Capacity 601 Poundsor More

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,862.27 / $9,862.27 / $9,862.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,538.99 / $9,862.27 / $11,965.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,609.29 / $13,157.52 / $18,432.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,834.47 / $16,043.09 / $17,269.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,102.62 / $10,102.62 / $41,313.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,068.75 / $19,259.43 / $24,217.31
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,223.99 / $29,223.99 / $32,529.96
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,068.75 / $19,068.75 / $19,068.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,191.44 / $10,964.61 / $16,446.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,099.73 / $5,201.89 / $11,010.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,099.73 / $5,201.89 / $11,010.44