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Alaska rates for HCPCS K0890

Power wheelchair, group 5 pediatric, single power option, sling/solid seat/back, patient weight capacity up to and including 125 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,943.28 / $7,943.28 / $9,549.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $7,079.46 / $7,079.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,025.60 / $7,079.46 / $7,244.36
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $7,943.28 / $7,943.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $7,943.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $7,943.28 / $7,943.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $6,025.60 / $7,244.36