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New York 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 $2,291 · 10th–90th $347$4,8980%5%10%10th90th$2,291Professionalmedian $5,012 · 10th–90th $3,162$9,7720%10%20%10th90th$5,012$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
$3,162.28 / $6,025.60 / $9,772.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $5,011.87 / $9,120.11
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $11,220.18
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $11,220.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $4,365.16 / $4,365.16
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $3,715.35 / $5,754.40
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $5,754.40 / $6,918.31
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $5,754.40 / $5,754.40
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $5,754.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $1,047.13 / $4,365.16
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $3,388.44 / $5,623.41
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,897.79 / $5,754.40
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $5,754.40