go back

Maryland 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
$3,934.48 / $5,371.87 / $7,321.36
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,406.19 / $6,406.19 / $7,144.55
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
$3,245.86 / $3,245.86 / $3,818.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,751.43 / $7,751.43 / $7,751.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,893.08 / $3,476.08 / $5,512.13
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,129.43 / $6,669.51 / $8,883.78