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New York 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 / $8,054.77 / $12,244.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,427.41 / $6,239.16 / $8,564.66
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,059.13 / $1,059.13 / $13,768.69
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.13 / $1,059.13 / $13,768.69
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 / $5,609.52
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,686.38 / $7,107.98 / $7,107.98
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,101.60 / $6,101.60 / $7,107.98
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,978.93 / $4,978.93 / $4,978.93
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,232.09 / $4,978.93 / $5,609.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.72 / $4,228.08 / $6,926.20
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,101.60 / $6,101.60 / $6,101.60
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,101.60 / $6,101.60 / $7,107.98