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Idaho 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
Facility
Modifier
Low / Median / High Price
$3,934.48 / $3,934.48 / $3,934.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,934.48 / $6,131.64 / $11,622.66
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
$738.67 / $3,818.66 / $3,933.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,934.48 / $6,497.71 / $10,942.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.89 / $992.89 / $1,045.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.86 / $502.15 / $3,766.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,731.84 / $2,954.68 / $5,186.39