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California rates for HCPCS K0056

Seat height less than 17 in or equal to or greater than 21 in for a high-strength, lightweight, or ultralightweight wheelchair

Facilitymedian $74 · 10th–90th $8$5500%20%10th90th$74Professionalmedian $68 · 10th–90th $40$2240%10%20%10th90th$68$0.1$0.5$2.0$10.0$50.0$200.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $61.66 / $407.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $91.20 / $263.03
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $199.53 / $302.00
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $104.71 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $74.13 / $131.83
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $93.33 / $112.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $91.20 / $154.88
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $549.54 / $549.54
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $74.13 / $131.83
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $74.13 / $81.28
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $93.33 / $95.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $36.31 / $67.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $58.88 / $128.82