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Arizona rates for HCPCS K0891

Power Wheelchair Group 5 Pediatric Multiple 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
$13,531.66 / $16,247.00 / $16,247.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.48 / $468.48 / $585.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,135.29 / $12,180.40 / $20,249.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,619.91 / $11,619.91 / $11,619.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,876.92 / $9,876.92 / $11,619.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,748.77 / $13,531.66 / $16,247.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,748.77 / $7,748.77 / $7,748.77