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North Dakota 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
$9,248.93 / $9,248.93 / $9,248.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,622.94 / $7,622.94 / $9,248.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,518.63 / $16,990.12 / $17,283.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,737.50 / $14,884.88 / $18,716.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,779.95 / $8,534.45 / $14,137.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,376.34 / $4,502.03 / $6,752.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,395.92 / $4,192.85 / $6,752.67