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Wisconsin rates for HCPCS K0816

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

Facilitymedian $2,512 · 10th–90th $224–$6,1660%10%10th90th$2,512Professionalmedian $2,630 · 10th–90th $1,288–$3,8020%20%10th90th$2,630$5.0$20.0$100.0$500.0$2.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,630.27 / $2,630.27
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,630.27 / $2,630.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $6,165.95 / $6,165.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,388.44 / $4,265.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,398.83 / $14,125.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $4,265.80 / $6,606.93
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $2,290.87 / $2,630.27
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $2,290.87 / $4,073.80
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,905.46 / $3,311.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $100.00 / $1,698.24
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $741.31 / $891.25
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $2,238.72 / $4,073.80
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $2,238.72 / $2,344.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $501.19 / $2,290.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,819.70 / $3,311.31