go back

West 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
Professional
Modifier
Low / Median / High Price
$6,678.90 / $7,856.93 / $8,348.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$826.31 / $1,016.99 / $11,155.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.31 / $889.87 / $12,013.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,978.93 / $4,978.93 / $8,534.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.47 / $4,978.93 / $6,144.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,977.53 / $4,228.08 / $6,926.20