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Michigan 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
$7,801.84 / $7,801.84 / $7,801.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,503.25 / $7,801.84 / $8,163.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,034.91 / $38,749.26 / $51,665.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.56 / $8,068.73 / $14,523.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.57 / $665.99 / $8,990.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.68 / $819.68 / $8,196.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.57 / $4,321.80 / $4,321.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.15 / $8,443.40 / $14,850.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.75 / $5,503.25 / $15,369.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.14 / $1,698.62 / $7,364.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,268.00 / $3,150.80 / $4,594.00