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Ohio 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
$8,912.51 / $8,912.51 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,317.64 / $9,772.37 / $12,882.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,762.47 / $9,120.11 / $17,782.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,659.59 / $9,332.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,479.11 / $9,332.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,964.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,511.38 / $8,511.38 / $19,054.61
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,964.78
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $8,511.38 / $10,000.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $1,412.54 / $8,511.38
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,549.93 / $11,220.18 / $18,620.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,174.90 / $7,244.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $5,011.87 / $7,244.36