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Texas 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
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.42 / $1,203.42 / $1,203.42
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 / $11,619.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $80.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.66 / $13,531.66 / $13,531.66
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,748.77 / $7,748.77 / $7,748.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,619.91 / $13,531.66 / $13,531.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,876.92 / $9,876.92 / $11,619.91
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,638.55 / $6,638.55 / $7,459.35