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New York 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
$5,011.87 / $9,772.37 / $13,182.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,762.47 / $8,128.31 / $10,715.19
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $17,782.79
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $17,782.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $10,000.00 / $10,000.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,413.10 / $9,120.11 / $9,120.11
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $9,120.11 / $9,120.11
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,943.28 / $7,943.28 / $9,120.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,096.48 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $5,495.41 / $9,120.11
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $7,943.28 / $9,120.11
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,943.28 / $7,943.28 / $9,120.11