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Arkansas 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
$5,472.42 / $5,472.42 / $5,472.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149,999.85 / $399,999.60 / $999,999.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,045.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,045.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,818.66 / $3,818.66 / $3,818.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.67 / $3,818.66 / $3,818.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.79 / $3,321.12 / $4,636.50