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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
$13,489.63 / $13,489.63 / $13,489.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,762.47 / $13,489.63 / $13,489.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,182.57 / $13,182.57 / $125,892.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $11,748.98 / $13,182.57
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 / $14,791.08
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,748.98 / $11,748.98 / $11,748.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $13,489.63 / $16,218.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,348.96 / $2,511.89