go back

California rates for HCPCS K0855

Power wheelchair, group 3 extra heavy-duty, captain's chair, patient weight capacity 601 pounds or more

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,513.07 / $7,186.14 / $12,817.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.64 / $1,081.04 / $1,081.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,373.57 / $9,105.10 / $19,829.18
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,947.16 / $1,947.16 / $1,947.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,102.62 / $10,102.62 / $10,697.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,587.24 / $8,587.24 / $19,068.75
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,926.12 / $10,926.12 / $13,111.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.07 / $7,586.34 / $8,649.85
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $11,041.73 / $11,041.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,191.44 / $10,102.62 / $11,965.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,620.48 / $10,102.62 / $10,102.62
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,926.12 / $10,926.12 / $10,926.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,262.64 / $4,649.60 / $9,372.14