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Pennsylvania rates for HCPCS K0855

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

Facilitymedian $4,571 · 10th–90th $631–$10,0000%10%20%10th90th$4,571Professionalmedian $8,913 · 10th–90th $4,169–$10,9650%20%10th90th$8,913$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
$5,495.41 / $8,912.51 / $10,715.19
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $8,912.51 / $10,964.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $10,000.00 / $16,218.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,511.38 / $8,511.38 / $19,054.61
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,471.29 / $10,471.29 / $12,882.50
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $9,120.11 / $10,715.19
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,511.38 / $8,511.38 / $15,488.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $1,096.48 / $6,918.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,630.78 / $5,495.41 / $9,120.11