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Missouri 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
$7,514.11 / $10,801.54 / $14,715.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,369.60 / $8,071.90 / $10,810.37
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 / $10,102.62 / $10,102.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,191.44 / $9,728.92 / $12,523.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,874.67 / $5,470.12 / $11,158.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,874.67 / $5,470.12 / $8,525.29