go back

Ohio 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
$6,827.98 / $6,827.98 / $6,827.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,678.90 / $6,827.98 / $8,953.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,981.96 / $7,037.60 / $16,163.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.39 / $1,271.24 / $8,580.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.92 / $1,271.24 / $8,008.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,978.93 / $4,978.93 / $8,534.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,232.09 / $4,978.93 / $10,570.20
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,978.93 / $4,978.93 / $6,144.24
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,232.09 / $4,978.93 / $4,978.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.99 / $849.05 / $5,837.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,704.14 / $4,096.16 / $5,887.27