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Kentucky rates for HCPCS K0816

Power wheelchair, group 1 standard, captain's chair, patient weight capacity up to and including 300 pounds

Facilitymedian $1,413 · 10th–90th $195–$3,4670%5%10%10th90th$1,413Professionalmedian $2,512 · 10th–90th $1,778–$3,0900%20%10th90th$2,512$200.0$500.0$1.0K$2.0K$5.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $1,778.28 / $2,630.27
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,454.71 / $2,818.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $3,019.95 / $3,090.30
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $489.78 / $4,073.80
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $562.34 / $5,888.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $2,238.72 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $1,905.46 / $2,344.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $269.15 / $2,691.53
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $933.25 / $2,137.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,584.89 / $2,630.27