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Illinois rates for HCPCS K0858

Power Wheelchair Group 3 Heavy Duty Single Power Option Sling/Solid Seat/Back Patient Weight Capicity 301 To 450 Pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,113.97 / $7,259.94 / $10,018.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.43 / $953.43 / $953.43
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $200.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.07 / $1,906.86 / $5,825.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,116.79 / $4,190.35 / $7,258.20