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Rhode Island 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
$4,265.80 / $4,570.88 / $4,570.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $549.54 / $549.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $3,801.89 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $3,890.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $3,467.37 / $5,754.40