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Pennsylvania rates for HCPCS K0011

Standard-weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking

Facilitymedian $2,291 · 10th–90th $309–$5,3700%10%20%10th90th$2,291Professionalmedian $3,802 · 10th–90th $2,291–$4,7860%20%10th90th$3,802$500.0$1.0K$2.0K$5.0K$10.0K

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
$2,290.87 / $3,801.89 / $4,365.16
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $7,079.46 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,128.61 / $8,128.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $8,317.64
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $3,388.44 / $4,168.69
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $3,801.89 / $4,365.16
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $6,760.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $524.81 / $3,467.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,511.89 / $5,623.41