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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
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,803.84 / $13,803.84 / $13,803.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $10,715.19 / $10,715.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $10,715.19 / $11,481.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $10,964.78 / $13,803.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $10,715.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,148.15 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $4,897.79 / $5,623.41