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Arizona 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
$10,026.04 / $13,802.66 / $13,802.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.78 / $657.78 / $822.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,826.67 / $17,102.22 / $28,432.45
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
$1,283.58 / $11,155.72 / $26,320.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,836.80 / $10,972.93 / $15,182.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,380.35 / $5,134.32 / $9,734.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,380.35 / $5,134.32 / $9,734.10