go back

Tennessee 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
$6,530.70 / $6,530.70 / $6,530.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,311.64 / $6,617.78 / $8,145.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,538.46 / $8,230.56 / $9,876.67
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
$3,245.86 / $3,818.66 / $3,818.66
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $7,016.64 / $7,016.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,317.39 / $3,367.64 / $4,635.39