go back

Texas 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
$5,899.70 / $7,458.11 / $9,907.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.47 / $801.47 / $801.47
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,474.93 / $8,474.93 / $8,474.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,978.93 / $4,978.93 / $8,268.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,232.09 / $4,978.93 / $5,609.52
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $8,534.45 / $8,534.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,785.60 / $7,903.37 / $8,953.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,169.54 / $1,271.24 / $9,949.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,785.60 / $6,678.90 / $8,474.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.47 / $4,978.93 / $5,128.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,994.90 / $3,909.24 / $5,846.80
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,239.16 / $6,239.16 / $8,112.40