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Ohio 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
$5,613.58 / $5,613.58 / $5,613.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,491.02 / $5,613.58 / $7,361.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,129.43 / $5,786.00 / $13,288.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.27 / $1,045.15 / $7,054.77
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.53 / $1,045.15 / $6,584.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,818.66 / $3,818.66 / $7,016.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,245.86 / $3,818.66 / $8,690.20
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,818.66 / $3,818.66 / $3,818.66
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,245.86 / $3,818.66 / $3,818.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.26 / $685.36 / $4,711.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,276.54 / $3,307.84 / $4,636.50