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Vermont 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
Professional
Modifier
Low / Median / High Price
$6,918.31 / $10,471.29 / $15,848.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,511.38 / $10,000.00 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $912.01 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $4,897.79 / $9,120.11