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Pennsylvania rates for HCPCS K0863

Power Wheelchair Group 3 Very Heavy Duty Multiplepower Option Sling/Solid Seat/Back Patient Weight Capacity 451 To 600

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,604.09 / $9,541.68 / $11,927.10
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,219.36 / $12,107.60 / $12,107.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,645.60 / $11,155.72 / $11,155.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,174.00 / $9,482.36 / $21,056.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,024.06 / $9,754.64 / $11,927.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,645.60 / $11,155.72 / $11,155.72
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,347.76 / $11,155.72 / $26,320.31
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,350.31 / $17,286.30 / $17,286.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,026.91 / $6,040.36 / $10,533.27