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Alaska rates for HCPCS K0857

Power wheelchair, group 3 standard, single power option, captain's chair, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,317.64 / $10,964.78 / $10,964.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $3,801.89 / $3,890.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $4,570.88 / $8,317.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $6,606.93 / $10,964.78
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,023.29 / $10,232.93
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $2,089.30 / $10,232.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $5,754.40 / $8,709.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $3,235.94 / $3,890.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $691.83 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $6,606.93 / $12,302.69