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Montana 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
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.59 / $1,000.59 / $1,000.59
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 / $4,321.80 / $6,806.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,321.80 / $6,491.06 / $8,213.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.15 / $4,321.80 / $6,806.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,618.04 / $2,896.60 / $3,315.80