go back

Maine 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
$7,610.54 / $7,610.54 / $8,054.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,239.16 / $6,738.29 / $8,112.40
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 / $5,609.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,366.40 / $10,366.40 / $10,366.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,344.64 / $7,610.54 / $8,054.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,769.04 / $4,228.08 / $11,735.03