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Connecticut 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
$6,152.58 / $8,145.01 / $8,327.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,129.43 / $5,129.43 / $6,669.51
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 / $3,818.66
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,628.80 / $4,628.80 / $4,628.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,276.54 / $3,367.64 / $4,520.64