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Michigan rates for HCPCS K0879

Power wheelchair, group 4 heavy-duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $6,918.31 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,918.31 / $6,918.31 / $6,918.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $4,786.30 / $47,863.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $12,882.50 / $12,882.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,244.36 / $7,244.36 / $9,120.11
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,918.31 / $6,918.31 / $6,918.31
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,244.36 / $7,244.36 / $7,244.36