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Michigan rates for HCPCS K0859

Power wheelchair, group 3 heavy-duty, single power option, captain's chair, patient weight capacity 301 to 450 pounds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,231.68 / $9,231.68 / $9,231.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,511.78 / $9,231.68 / $9,659.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,591.13 / $45,850.87 / $61,134.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.27 / $9,547.49 / $17,185.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.09 / $788.05 / $10,638.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.90 / $969.90 / $9,699.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,447.14 / $7,447.14 / $7,447.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.86 / $7,447.14 / $14,055.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.09 / $7,230.56 / $18,185.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.11 / $958.52 / $8,713.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,683.65 / $3,795.60 / $6,711.70