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California rates for HCPCS K0856

Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds

Facilitymedian $3,802 · 10th–90th $575–$6,9180%20%10th90th$3,802Professionalmedian $5,129 · 10th–90th $2,818–$7,7620%20%10th90th$5,129$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
$2,818.38 / $5,370.32 / $7,585.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $676.08 / $676.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $5,011.87 / $21,877.62
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,949.84 / $2,951.21
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,248.07 / $5,248.07 / $5,248.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $4,365.16
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $3,715.35 / $6,760.83
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,760.83 / $6,760.83 / $8,128.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $831.76 / $5,370.32
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $6,918.31 / $6,918.31
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $6,165.95 / $7,244.36
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $3,715.35 / $4,365.16
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,760.83 / $6,760.83 / $6,918.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $575.44 / $3,801.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $3,019.95 / $6,025.60