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North Carolina 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
$5,370.32 / $7,244.36 / $7,244.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $3,801.89 / $15,135.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $7,244.36 / $8,128.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $1,071.52 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $3,311.31 / $5,495.41
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $7,079.46 / $7,079.46