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Maine rates for HCPCS K0004

High strength, lightweight wheelchair

Facilitymedian $631 · 10th–90th $36–$7080%20%40%10th90th$631Professionalmedian $513 · 10th–90th $407–$7240%20%10th90th$513$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $630.96 / $724.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $407.38 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $660.69 / $912.01
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $467.74 / $1,047.13
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $630.96 / $1,122.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $467.74 / $707.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $489.78 / $1,122.02