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Vermont 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
$4,394.04 / $5,884.88 / $5,884.88
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 / $3,933.22
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,818.66 / $3,818.66 / $3,818.66
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,818.66 / $3,818.66 / $3,933.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.02 / $3,748.90 / $5,793.47