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Montana rates for HCPCS K0863

Power wheelchair, group 3 very heavy-duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.72 / $11,155.72 / $11,155.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,283.58 / $11,155.72 / $12,064.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,686.09 / $11,505.78 / $14,558.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,283.58 / $11,155.72 / $12,064.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,640.52 / $5,134.32 / $5,877.36