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California 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
$5,470.60 / $5,470.60 / $7,874.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$857.38 / $950.00 / $950.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,485.20 / $9,488.16 / $11,037.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,100.47 / $7,100.47 / $7,100.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,035.40 / $6,035.40 / $7,100.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.07 / $638.07 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $80.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,197.07 / $7,100.47 / $7,874.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,035.40 / $7,100.47 / $7,313.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.17 / $422.17 / $422.17