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Missouri 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
$5,754.40 / $7,585.78 / $8,912.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $6,309.57 / $9,549.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $5,011.87 / $6,165.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $4,265.80 / $5,128.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $8,317.64 / $10,715.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $4,265.80 / $7,079.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,288.25 / $5,495.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $4,265.80 / $6,918.31