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Vermont 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
$5,344.64 / $7,158.00 / $7,158.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,284.92 / $10,284.92 / $10,284.92
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 / $5,128.30
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,978.93 / $4,978.93 / $4,978.93
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,978.93 / $4,978.93 / $5,128.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.72 / $4,559.89 / $7,046.80