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Delaware 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
$7,012.85 / $7,731.65 / $8,348.62
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 / $4,232.09 / $4,978.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,706.85 / $4,228.08 / $5,194.64