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Missouri rates for HCPCS K0004

High strength, lightweight wheelchair

Facilitymedian $468 · 10th–90th $51–$1,5140%5%10th90th$468Professionalmedian $513 · 10th–90th $363–$7240%10%20%10th90th$513$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $524.81 / $724.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $407.38 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $660.69
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $549.54 / $2,511.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $436.52 / $776.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $380.19 / $630.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $416.87 / $741.31