go back

Tennessee 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
$7,943.48 / $7,943.48 / $7,943.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,460.69 / $8,049.39 / $9,907.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,952.96 / $10,011.02 / $12,013.22
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 / $4,978.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $8,534.45 / $8,534.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.72 / $4,139.85 / $5,638.20