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Texas 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
$4,850.39 / $6,131.64 / $8,145.01
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,967.67 / $6,967.67 / $6,967.67
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
$3,245.86 / $3,818.66 / $3,933.22
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $7,016.64 / $7,016.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,934.48 / $6,497.71 / $7,361.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.54 / $1,045.15 / $8,180.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,818.66 / $5,491.02 / $6,967.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.67 / $3,818.66 / $3,933.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,445.48 / $3,213.92 / $5,186.39
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,129.43 / $5,129.43 / $6,669.51