go back

Idaho rates for HCPCS K0855

Power wheelchair, group 3 extra heavy-duty, captain's chair, patient weight capacity 601 pounds or more

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,191.44 / $6,191.44 / $6,191.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,191.44 / $9,649.01 / $18,289.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,102.62 / $10,102.62 / $10,102.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.40 / $8,587.24 / $10,102.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,191.44 / $10,225.07 / $17,219.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,562.46 / $1,562.46 / $1,644.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.41 / $790.21 / $5,926.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,298.92 / $4,649.60 / $8,525.29