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Alaska rates for HCPCS K0861

Power wheelchair, group 3 standard, multiple 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
$8,128.31 / $10,715.19 / $10,715.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $5,011.87 / $5,011.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $5,011.87 / $5,128.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $4,466.84 / $8,128.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $6,456.54 / $10,715.19
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,000.00 / $10,000.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,258.93 / $10,000.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $5,623.41 / $8,511.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $4,265.80 / $5,128.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $676.08 / $4,570.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $6,606.93 / $12,022.64