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Montana 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
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 / $6,943.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,818.66 / $6,622.15 / $8,378.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.67 / $3,818.66 / $6,943.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,670.54 / $2,954.68 / $3,382.28