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Idaho rates for HCPCS K0856

Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,857.20 / $3,857.20 / $3,857.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,857.20 / $6,011.11 / $11,394.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,321.80 / $4,321.80 / $4,321.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.15 / $3,673.53 / $4,321.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,857.20 / $6,369.98 / $10,727.53
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.37 / $973.37 / $1,024.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.27 / $504.10 / $3,692.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,678.20 / $2,896.60 / $4,586.29