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Montana rates for HCPCS K0854

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

Insurance Carrier
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 / $10,694.63 / $11,566.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,285.70 / $11,029.28 / $13,956.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.51 / $10,694.63 / $11,566.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,448.70 / $4,922.04 / $8,203.40