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Maryland 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
$4,785.60 / $6,533.95 / $8,905.20
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,792.05 / $7,792.05 / $8,690.15
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,428.31 / $9,428.31 / $9,428.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,116.79 / $4,228.08 / $6,704.57
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,239.16 / $8,112.40 / $10,805.54