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Florida 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
$2,618.15 / $5,491.02 / $7,321.36
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 / $3,933.22
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,337.17 / $4,337.17 / $4,337.17
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,337.17 / $5,513.07 / $6,050.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,655.37 / $3,862.36 / $4,827.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,445.48 / $3,403.60 / $4,678.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,129.43 / $5,129.43 / $5,129.43