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North Carolina 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
$13,531.66 / $13,531.66 / $13,531.66
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 / $11,619.91 / $11,619.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,997.66 / $13,531.66 / $15,290.78
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $100.00 / $100.00