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South Carolina rates for HCPCS K0864

Power Wheelchair Group 3 Extra Heavy Duty Multiple Power Option Sling/Solid Seat/Back Patient Weight Capacity 601 Pounds Or More

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,931.01 / $11,931.01 / $15,139.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,568.60 / $13,275.38 / $13,275.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,603.83 / $13,275.38 / $13,275.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,931.01 / $12,527.56 / $15,139.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,562.70 / $12,562.70 / $12,562.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.20 / $4,191.45 / $7,451.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,141.67 / $6,490.20 / $8,120.93