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Michigan rates for HCPCS K0862

Power wheelchair, group 3 heavy-duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $9,772.37 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,370.32 / $7,762.47 / $10,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $13,489.63 / $48,977.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,000.00 / $13,489.63 / $13,489.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $11,220.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $6,165.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $5,248.07 / $14,791.08
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $7,943.28 / $19,498.45
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $5,370.32
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $5,248.07 / $6,165.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $1,288.25 / $5,623.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $3,981.07 / $6,025.60