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Illinois 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
$3,382.29 / $5,968.74 / $8,236.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.86 / $783.86 / $783.86
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 / $3,818.66 / $12,116.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $200.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.33 / $1,567.73 / $4,789.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,954.68 / $3,445.08 / $6,155.21