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Wisconsin 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 / $7,874.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,325.47 / $9,488.16 / $9,488.16
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
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,197.07 / $7,874.59 / $14,174.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $7,874.59 / $14,174.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.07 / $598.07 / $598.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $55.00 / $65.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,197.07 / $7,874.59 / $14,174.26
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $80.00 / $7,100.47
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,100.47 / $7,100.47 / $7,100.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.07 / $598.07 / $598.07