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Delaware 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
$5,765.57 / $6,356.55 / $6,863.78
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
$775.60 / $3,245.86 / $3,818.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,317.39 / $3,476.08 / $4,408.43