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Alaska rates for HCPCS K0858

Power wheelchair, group 3 heavy-duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,309.89 / $13,309.89 / $13,309.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,978.93 / $4,978.93 / $4,978.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,232.09 / $4,978.93 / $5,128.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,785.60 / $7,158.00 / $10,647.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.68 / $1,207.68 / $1,271.24
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,905.20 / $10,240.40 / $27,137.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,785.60 / $7,017.94 / $10,526.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,232.09 / $4,978.93 / $5,128.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,228.08 / $8,808.50 / $14,798.28