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Idaho rates for HCPCS K0854

Power wheelchair, group 3 extra heavy-duty, sling/solid seat/back, patient weight capacity 601 pounds or more

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,554.24 / $6,554.24 / $6,554.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,554.24 / $10,214.42 / $19,361.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,694.63 / $10,694.63 / $10,694.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.51 / $9,090.44 / $10,694.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,554.24 / $10,824.23 / $18,228.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,654.02 / $1,654.02 / $1,741.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.32 / $836.53 / $6,273.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,550.84 / $4,922.04 / $7,793.23