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Arizona 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
$5,769.78 / $7,943.14 / $7,943.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.90 / $353.90 / $442.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,901.13 / $9,201.50 / $15,297.50
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
$3,245.86 / $3,818.66 / $12,116.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,934.48 / $6,256.94 / $8,737.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,333.88 / $2,954.68 / $5,186.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,731.84 / $2,954.68 / $5,186.39