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Iowa 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
Facility
Modifier
Low / Median / High Price
$6,143.95 / $6,143.95 / $7,454.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,138.48 / $5,652.23 / $8,484.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.57 / $4,321.80 / $4,952.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,134.88 / $11,880.00 / $14,850.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.23 / $975.23 / $8,566.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,663.96 / $6,878.76 / $11,798.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,678.20 / $3,407.76 / $9,332.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,316.56 / $1,474.69 / $2,663.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,213.75 / $1,408.35 / $2,663.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,896.60 / $3,407.76 / $9,332.71
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,284.91 / $9,221.40 / $9,221.40