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Utah rates for HCPCS K0855

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

Facilitymedian $3,715 · 10th–90th $550–$10,0000%10%20%10th90th$3,715Professionalmedian $6,166 · 10th–90th $1,622–$12,0230%10%20%10th90th$6,166$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,165.95 / $6,165.95 / $12,022.64
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $10,000.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $10,000.00 / $19,054.61
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $6,606.93 / $10,471.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,454.40 / $16,595.87 / $17,782.79
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,964.78 / $11,220.18 / $11,220.18
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,659.59 / $10,232.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $1,096.48 / $7,413.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $4,677.35 / $11,220.18