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North Dakota 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
$13,531.66 / $13,531.66 / $13,531.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,709.75 / $2,000.80 / $2,035.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $13,531.66 / $16,247.00