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Idaho 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
Facility
Modifier
Low / Median / High Price
$4,785.60 / $4,785.60 / $4,785.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,785.60 / $7,458.11 / $14,137.01
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
$898.47 / $4,978.93 / $5,128.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,785.60 / $7,903.37 / $13,309.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.68 / $1,207.68 / $1,271.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.38 / $625.44 / $6,107.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,322.84 / $3,593.88 / $5,690.31