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Massachusetts rates for HCPCS K0857

Power wheelchair, group 3 standard, single power option, captain's chair, patient weight capacity up to and including 300 pounds

Facilitymedian $4,571 · 10th–90th $427–$7,0790%20%40%10th90th$4,571Professionalmedian $5,370 · 10th–90th $3,467–$7,9430%20%10th90th$5,370$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $4,570.88 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $5,495.41 / $7,943.28
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $6,760.83 / $7,079.46
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $4,365.16 / $6,760.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $3,801.89 / $6,918.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $3,801.89 / $12,022.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $9,120.11 / $9,120.11
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $4,677.35 / $4,677.35
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $6,760.83 / $7,079.46
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $4,365.16 / $6,760.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $588.84 / $4,677.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $4,168.69 / $9,120.11