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Pennsylvania 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 / $6,678.90 / $8,348.62
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,453.28 / $8,474.93 / $8,474.93
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
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,216.72 / $6,827.98 / $8,348.62
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,978.93 / $4,978.93 / $4,978.93
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,232.09 / $4,978.93 / $18,421.88
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,544.97 / $12,099.90 / $12,099.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,974.55 / $4,228.08 / $7,642.80