go back

Montana rates for HCPCS K0849

Power Wheelchair Group 3 Standard Captains Chairpatient Weight Capacity Up To And Including 300 Pounds

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,087.00 / $3,087.00 / $3,087.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.63 / $3,087.00 / $6,096.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,087.00 / $5,813.76 / $7,356.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.63 / $3,087.00 / $6,096.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.98 / $2,594.52 / $4,324.20