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Pennsylvania 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
$3,404.05 / $5,391.72 / $6,642.24
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.25 / $6,841.67 / $6,841.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,960.08 / $4,978.93 / $4,978.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,232.09 / $4,232.09 / $14,873.44
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,848.27 / $7,183.75 / $7,696.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,404.05 / $5,512.10 / $6,642.24
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,960.08 / $4,978.93 / $4,978.93
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,232.09 / $4,978.93 / $14,873.44
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,283.70 / $9,768.00 / $9,768.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,812.00 / $3,697.64 / $7,947.72