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Oregon 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
$3,934.48 / $3,934.48 / $3,934.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,934.48 / $5,224.56 / $5,224.56
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
$738.67 / $3,245.86 / $3,818.66
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.60 / $5,485.79 / $7,157.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.80 / $992.89 / $1,045.15
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,892.19 / $5,892.19 / $79,999.20
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,892.19 / $5,892.19 / $5,892.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.90 / $5,485.79 / $7,655.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.91 / $994.79 / $3,818.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,811.68 / $2,954.68 / $5,783.67