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Montana rates for HCPCS K0828

Power wheelchair, group 2 extra heavy-duty, sling/solid seat/back, patient weight capacity 601 pounds or more

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,511.38 / $8,511.38 / $8,511.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $7,943.28 / $7,943.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $7,943.28 / $8,317.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,122.02 / $10,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $7,943.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $794.33 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,548.13 / $4,073.80