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Pennsylvania 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
Professional
Modifier
Low / Median / High Price
$3,073.49 / $6,369.60 / $7,962.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,154.46 / $8,082.53 / $8,082.53
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
$6,330.07 / $6,879.60 / $14,055.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,073.49 / $6,511.78 / $7,979.71
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,447.14 / $7,447.14 / $7,447.14
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.70 / $7,447.14 / $17,568.75
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,241.88 / $11,539.60 / $11,539.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,688.19 / $4,032.28 / $6,720.47