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West 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
Professional
Modifier
Low / Median / High Price
$6,165.95 / $8,912.51 / $10,715.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $6,760.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $7,244.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $8,912.51 / $10,964.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $10,000.00 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,096.48 / $7,244.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $5,495.41 / $8,511.38