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Texas 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
$7,632.80 / $9,504.99 / $12,817.34
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.60 / $10,964.60 / $10,964.60
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
$1,220.52 / $10,102.62 / $10,102.62
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $11,041.73 / $11,041.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,191.44 / $10,225.07 / $11,584.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.11 / $1,644.69 / $12,872.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,191.44 / $10,002.96 / $10,964.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.40 / $10,102.62 / $10,102.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,874.67 / $5,057.56 / $7,564.43
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,071.90 / $8,071.90 / $10,495.50