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Nationwide rates for HCPCS K0877

Power wheelchair, group 4 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $5,128.61 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $5,128.61 / $5,128.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $5,248.07 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $16,595.87 / $16,595.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $5,754.40 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $398.11 / $812.83