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South Carolina rates for HCPCS K0857

Power Wheelchair Group 3 Standard Single Power Option Captains Chair Patient Weight Capacity Upto And Including 300 Pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,769.78 / $5,769.78 / $7,321.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,200.00 / $4,000.00 / $5,042.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,752.43 / $3,818.66 / $3,818.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.60 / $3,818.66 / $3,818.66
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,769.78 / $6,058.27 / $7,321.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,075.30 / $6,075.30 / $6,075.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.02 / $1,821.76 / $3,373.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,317.39 / $3,138.60 / $3,983.21