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Oregon 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
$4,785.60 / $4,785.60 / $4,785.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,785.60 / $6,354.78 / $6,354.78
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 / $4,232.09 / $4,978.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.76 / $6,672.52 / $8,706.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.75 / $1,207.68 / $1,271.24
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,166.94 / $7,166.94 / $79,999.20
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,166.94 / $7,166.94 / $7,166.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.52 / $6,672.52 / $9,310.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.04 / $1,209.99 / $4,978.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,419.92 / $3,593.88 / $7,034.87