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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

Facilitymedian $3,802 · 10th–90th $513–$7,0790%10%10th90th$3,802Professionalmedian $3,802 · 10th–90th $79–$7,5860%20%10th90th$3,802$100.0$200.0$500.0$1.0K$2.0K$5.0K

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,585.78 / $7,585.78 / $7,585.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $3,801.89 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $3,801.89 / $6,918.31
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $6,606.93 / $8,317.64
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $3,890.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $691.83 / $4,677.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,951.21 / $4,466.84