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Michigan 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
Facility
Modifier
Low / Median / High Price
$13,489.63 / $13,489.63 / $13,489.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,943.28 / $13,489.63 / $16,218.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,513.56 / $15,135.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $4,073.80 / $4,073.80
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
$11,748.98 / $11,748.98 / $12,022.64
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,762.47 / $13,489.63 / $13,489.63
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $11,748.98 / $11,748.98
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,748.98 / $11,748.98 / $11,748.98