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Pennsylvania rates for HCPCS K0854

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

Facilitymedian $4,898 · 10th–90th $676–$10,7150%10%10th90th$4,898Professionalmedian $9,333 · 10th–90th $4,365–$11,4820%20%40%10th90th$9,333$1.0K$2.0K$5.0K$10.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,754.40 / $9,332.54 / $11,481.54
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $10,232.93 / $11,481.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $10,715.19 / $11,220.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,120.11 / $9,120.11 / $19,952.62
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,964.78 / $10,964.78 / $13,489.63
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,754.40 / $9,549.93 / $11,481.54
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,912.51 / $8,912.51 / $16,595.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $1,148.15 / $7,413.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $5,754.40 / $9,772.37