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Kentucky 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
Facility
Modifier
Low / Median / High Price
$7,874.59 / $7,874.59 / $7,874.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,197.07 / $7,874.59 / $10,569.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,113.90 / $9,485.20 / $11,037.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,707.52 / $15,707.52 / $15,707.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $7,100.47 / $7,100.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,035.40 / $7,100.47 / $7,100.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00