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Hawaii 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
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.47 / $4,978.93 / $5,837.22
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,474.93 / $8,874.27 / $11,131.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.76 / $703.76 / $6,685.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,957.48 / $3,957.48 / $5,989.80
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,474.93 / $8,474.93 / $8,474.93