go back

Arizona 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
$7,017.94 / $9,661.42 / $9,661.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.42 / $460.42 / $575.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,978.26 / $11,971.02 / $19,901.81
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 / $14,737.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,785.60 / $7,680.74 / $10,627.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,116.79 / $3,593.88 / $6,926.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,045.94 / $3,593.88 / $6,926.20