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Pennsylvania 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
$3,398.62 / $5,383.08 / $6,631.56
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,201.22 / $6,830.67 / $6,830.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,321.80 / $4,321.80 / $4,952.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,673.53 / $3,673.53 / $14,850.00
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,684.50 / $7,684.50 / $7,684.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,398.62 / $5,383.08 / $6,728.85
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,321.80 / $4,321.80 / $4,952.16
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,673.53 / $4,321.80 / $14,850.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,275.24 / $9,752.29 / $9,752.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,397.44 / $3,407.76 / $6,017.88