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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
$5,807.95 / $8,348.93 / $10,526.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,923.24 / $6,239.16 / $8,355.77
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 / $4,978.93 / $5,128.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,785.60 / $7,760.84 / $9,222.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,994.90 / $4,228.08 / $8,625.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,994.90 / $4,228.08 / $6,926.20