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Wyoming 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
$5,225.75 / $5,225.75 / $9,151.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,206.50 / $10,206.50 / $10,206.50
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
$3,818.66 / $3,818.66 / $3,818.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,504.19 / $2,954.68 / $4,450.89