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California 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
$8,156.60 / $8,156.60 / $13,531.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$690.41 / $765.00 / $765.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,638.55 / $6,638.55 / $8,927.00
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.07 / $638.07 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $80.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,748.77 / $11,619.91 / $13,531.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,876.92 / $9,876.92 / $11,619.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.08 / $559.08 / $559.08