go back

South Carolina 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
$9,079.54 / $9,079.54 / $11,521.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,560.00 / $8,200.00 / $10,338.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,284.14 / $10,102.62 / $10,102.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,220.52 / $10,102.62 / $10,102.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,079.54 / $9,533.53 / $11,521.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,560.40 / $9,560.40 / $9,560.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,224.19 / $4,939.04 / $6,180.08