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Washington rates for HCPCS K0855

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

Facilitymedian $4,266 · 10th–90th $1,445–$9,3330%20%10th90th$4,266Professionalmedian $8,128 · 10th–90th $1,514–$13,8040%50%10th90th$8,128$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
$8,128.31 / $8,128.31 / $11,481.54
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $14,125.38 / $14,125.38
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $16,595.87 / $18,620.87
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
$1,230.27 / $8,511.38 / $10,000.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $10,715.19 / $10,715.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $10,715.19 / $10,715.19
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,128.31 / $9,549.93 / $11,748.98
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,819.70 / $9,332.54
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $9,332.54
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,445.44 / $14,454.40
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,905.46 / $14,454.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $14,454.40 / $18,620.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $1,096.48 / $6,309.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,677.35 / $8,912.51