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Oklahoma 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
$5,037.84 / $8,640.90 / $10,801.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,102.62 / $10,102.62 / $10,697.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.40 / $10,102.62 / $19,068.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$910.51 / $9,072.95 / $11,341.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,151.84 / $5,253.07 / $8,525.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,874.67 / $5,241.80 / $8,525.29