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Utah rates for HCPCS K0858

Power wheelchair, group 3 heavy-duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds

Facilitymedian $5,012 · 10th–90th $490–$5,6230%20%10th90th$5,012Professionalmedian $5,012 · 10th–90th $1,288–$9,3330%10%20%10th90th$5,012$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,786.30 / $9,332.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,011.87 / $5,011.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $5,011.87 / $14,791.08
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $5,128.61 / $8,128.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,220.18 / $12,882.50 / $13,489.63
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,511.38 / $8,709.64 / $8,709.64
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,288.25 / $7,943.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $851.14 / $5,754.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $3,630.78 / $8,709.64