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Louisiana 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
$5,674.05 / $7,473.57 / $7,734.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,041.56 / $4,393.00 / $4,393.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,818.66 / $3,818.66 / $6,797.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.67 / $3,818.66 / $12,116.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,000.85 / $3,307.84 / $5,186.39