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Alaska rates for HCPCS K0863

Power wheelchair, group 3 very heavy-duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,014.93 / $19,014.93 / $19,014.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.72 / $11,155.72 / $11,155.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,482.36 / $11,155.72 / $11,155.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,836.80 / $10,226.10 / $15,211.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,725.33 / $1,725.33 / $1,816.14
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,462.97 / $2,247.21 / $15,100.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,836.80 / $10,654.88 / $15,039.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,482.36 / $11,155.72 / $11,155.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,040.36 / $11,577.36 / $20,091.45