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New Jersey 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
$3,222.71 / $5,874.82 / $10,526.91
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 / $14,737.50
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,456.16 / $8,456.16 / $8,456.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,389.97 / $4,192.85 / $7,780.45