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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$3,138.48 / $3,972.91 / $4,476.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,526.30 / $5,526.30 / $5,526.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.57 / $775.57 / $4,321.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,673.53 / $3,673.53 / $3,673.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,231.84 / $3,407.76 / $5,679.60