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West 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
Professional
Modifier
Low / Median / High Price
$5,491.02 / $6,459.53 / $6,863.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.35 / $836.12 / $9,171.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.35 / $731.61 / $9,876.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,818.66 / $3,818.66 / $7,016.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.67 / $3,818.66 / $3,818.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,670.54 / $3,476.08 / $5,236.30