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Louisiana 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
$6,901.53 / $9,090.37 / $9,407.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,915.81 / $5,343.27 / $5,343.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,978.93 / $4,978.93 / $8,268.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.47 / $4,978.93 / $14,737.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,436.16 / $4,023.44 / $6,926.20