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Minnesota 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
$7,622.94 / $7,622.94 / $7,622.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,373.09 / $7,622.94 / $9,248.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,746.17 / $10,169.92 / $14,247.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,920.23 / $12,400.29 / $13,348.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,978.93 / $4,978.93 / $31,930.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,737.50 / $14,884.88 / $18,716.63
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,586.78 / $22,586.78 / $25,141.91
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,737.50 / $14,737.50 / $14,737.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,785.60 / $8,474.94 / $12,712.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,395.92 / $4,020.77 / $8,510.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,395.92 / $4,228.08 / $8,510.42