go back

Montana rates for HCPCS K0861

Power Wheelchair Group 3 Standard Multiple Power Option Sling/Solid Seat/Back Patient Weight Capacity Up To And Including 300 Pounds

Insurance Carrier
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.20 / $1,002.20 / $1,002.20
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
$725.31 / $4,978.93 / $7,947.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,978.93 / $6,501.46 / $10,596.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.31 / $4,978.93 / $7,947.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,901.24 / $2,901.24 / $4,835.39