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Montana 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
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
$898.47 / $4,978.93 / $8,445.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,978.93 / $8,054.78 / $10,190.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.47 / $4,978.93 / $8,445.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,248.22 / $3,593.88 / $5,989.80