go back

Utah 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
$3,857.20 / $3,857.20 / $3,857.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.57 / $4,321.80 / $4,321.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.15 / $3,673.53 / $14,850.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,318.75 / $4,088.97 / $6,482.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,502.59 / $2,896.60 / $5,561.30