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Virginia 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
$6,459.53 / $6,459.53 / $6,459.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,934.48 / $6,459.53 / $7,958.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,129.43 / $5,129.43 / $5,129.43
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,406.19 / $6,406.19 / $7,144.55
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
$775.60 / $3,818.66 / $3,818.66
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,934.48 / $4,552.66 / $6,967.67
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,075.30 / $6,075.30 / $6,075.30
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.66 / $895.20 / $8,612.70
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.66 / $895.20 / $8,612.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,893.08 / $3,476.08 / $5,236.30