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Pennsylvania 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 $2,884 · 10th–90th $398–$4,5710%20%10th90th$2,884Professionalmedian $5,495 · 10th–90th $2,630–$6,7610%20%10th90th$5,495$500.0$1.0K$2.0K$5.0K$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
$3,388.44 / $5,495.41 / $6,760.83
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,025.60 / $6,760.83 / $6,760.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $4,897.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $3,715.35 / $11,748.98
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,456.54 / $6,456.54 / $6,456.54
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,762.47 / $7,762.47 / $7,762.47
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $5,495.41 / $6,309.57
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,248.07 / $5,248.07 / $9,772.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $676.08 / $4,365.16
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $3,388.44 / $6,025.60