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Maine rates for HCPCS K0859

Power wheelchair, group 3 heavy-duty, single power option, captain's chair, patient weight capacity 301 to 450 pounds

Facilitymedian $5,623 · 10th–90th $813–$7,4130%20%10th90th$5,623Professionalmedian $7,244 · 10th–90th $6,607–$9,3330%20%10th90th$7,244$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
$6,918.31 / $7,244.36 / $9,332.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,754.40 / $8,912.51 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $7,413.10 / $8,128.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $7,413.10 / $7,413.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $10,715.19 / $10,715.19
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,918.31 / $7,244.36 / $9,332.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $812.83 / $5,623.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $9,332.54 / $10,715.19