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California rates for HCPCS K0854

Power wheelchair, group 3 extra heavy-duty, sling/solid seat/back, patient weight capacity 601 pounds or more

Facilitymedian $3,802 · 10th–90th $813–$11,7490%20%10th90th$3,802Professionalmedian $8,710 · 10th–90th $4,786–$13,1830%20%10th90th$8,710$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$4,786.30 / $9,120.11 / $12,882.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,148.15 / $1,148.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $8,511.38 / $37,153.52
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,311.31 / $5,011.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $10,715.19 / $10,715.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,120.11 / $9,120.11 / $19,952.62
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,481.54 / $11,481.54 / $13,803.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $831.76 / $9,120.11
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $11,748.98 / $11,748.98
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $10,715.19 / $12,302.69
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,413.10 / $9,120.11 / $10,715.19
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,481.54 / $11,481.54 / $11,748.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $977.24 / $6,456.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $4,897.79 / $10,232.93