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New York 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
$5,197.07 / $5,470.60 / $7,874.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,485.20 / $9,488.16 / $9,722.33
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 / $7,100.47 / $7,313.48
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,817.87 / $7,817.87 / $7,817.87
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,100.47 / $7,100.47 / $7,100.47
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,035.40 / $7,100.47 / $9,828.00