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Virginia 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
$10,164.98 / $10,164.98 / $10,164.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,191.44 / $10,164.98 / $12,523.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,071.90 / $8,071.90 / $8,071.90
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,381.38 / $11,381.38 / $11,381.40
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,191.44 / $7,164.23 / $10,964.61
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,560.40 / $9,560.40 / $9,560.40
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$864.98 / $1,408.80 / $13,553.30
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.98 / $1,408.80 / $13,553.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,552.66 / $5,470.12 / $8,240.10