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New Jersey 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
$2,649.57 / $4,829.95 / $8,654.67
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 / $3,818.66 / $12,116.25
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,952.16 / $6,952.16 / $6,952.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,787.07 / $3,476.08 / $4,630.93