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Montana rates for HCPCS K0855

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

Facilitymedian $8,913 · 10th–90th $813–$11,2200%10%20%10th90th$8,913Professionalmedian $10,000 · 10th–90th $79–$12,0230%20%40%10th90th$10,000$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,022.64 / $12,022.64 / $12,022.64
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $10,000.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $10,000.00 / $10,964.78
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $10,471.29 / $13,182.57
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $1,096.48 / $7,244.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,168.69 / $4,677.35 / $7,079.46