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Maryland 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
$7,943.28 / $13,489.63 / $13,489.63
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,135.61 / $15,135.61 / $15,135.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $11,748.98 / $11,748.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,772.37 / $9,772.37 / $11,748.98
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10