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Virginia 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
$7,856.93 / $7,856.93 / $7,856.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,785.60 / $7,856.93 / $9,679.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,239.16 / $6,239.16 / $6,239.16
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,792.05 / $7,792.05 / $8,690.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,978.93 / $4,978.93 / $6,144.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,232.09 / $4,978.93 / $5,128.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,785.60 / $5,537.52 / $8,474.94
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,389.50 / $7,389.50 / $7,389.50
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.57 / $1,089.00 / $10,475.90
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.57 / $1,089.00 / $10,475.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,518.90 / $4,228.08 / $5,679.48