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Arizona rates for HCPCS K0856

Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,656.33 / $7,786.96 / $7,786.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.94 / $346.94 / $433.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,329.22 / $9,020.58 / $12,906.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,321.80 / $4,321.80 / $4,321.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,673.53 / $3,673.53 / $14,850.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,857.20 / $6,339.00 / $8,565.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,502.59 / $2,896.60 / $5,561.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,502.59 / $2,896.60 / $5,561.30