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North Dakota 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
Facility
Modifier
Low / Median / High Price
$7,603.93 / $7,603.93 / $7,603.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,267.18 / $6,267.18 / $7,603.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,936.49 / $13,968.43 / $14,209.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,116.25 / $12,237.41 / $15,387.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,574.14 / $7,016.64 / $11,622.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,775.84 / $3,447.13 / $5,551.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,175.79 / $3,280.29 / $6,967.66