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Montana rates for HCPCS K0852

Power wheelchair, group 3 very heavy-duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $5,128.61 / $5,128.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $5,128.61 / $8,511.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $8,128.31 / $10,232.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $5,248.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $851.14 / $5,623.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $3,630.78 / $4,168.69