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Virginia 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
$5,197.07 / $5,197.07 / $5,197.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,197.07 / $5,197.07 / $7,874.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,488.16 / $9,488.16 / $9,488.16
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,496.88 / $11,496.88 / $11,496.88
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 / $7,100.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,197.07 / $5,872.69 / $8,347.07
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.90 / $768.90 / $768.90
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.90 / $768.90 / $768.90