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Utah rates for HCPCS K0857

Power wheelchair, group 3 standard, single power option, captain's chair, patient weight capacity up to and including 300 pounds

Facilitymedian $2,692 · 10th–90th $407–$4,6770%20%10th90th$2,692Professionalmedian $3,890 · 10th–90th $1,023–$7,5860%20%10th90th$3,890$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $7,585.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $3,801.89 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $3,801.89 / $12,022.64
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,120.11 / $10,715.19 / $11,220.18
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,918.31 / $7,079.46 / $7,079.46
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,071.52 / $6,456.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $707.95 / $4,677.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $2,951.21 / $7,079.46