go back

Minnesota 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
$13,531.66 / $13,531.66 / $13,531.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,748.77 / $13,531.66 / $13,531.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,789.42 / $13,045.21 / $75,283.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,231.54 / $12,789.42 / $13,045.21
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 / $9,876.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,156.60 / $13,531.66 / $16,247.00