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Hawaii 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
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.67 / $3,818.66 / $4,798.99
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,967.67 / $7,295.99 / $9,151.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.60 / $578.60 / $5,496.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,253.61 / $3,253.61 / $4,924.47
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,967.67 / $6,967.67 / $6,967.67