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Oklahoma 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
$3,201.36 / $5,491.02 / $6,863.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,818.66 / $3,818.66 / $6,797.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.67 / $3,818.66 / $12,116.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.60 / $5,765.57 / $7,206.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,002.90 / $3,338.17 / $5,186.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,462.23 / $3,321.12 / $5,186.39