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California 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

Facilitymedian $3,981 · 10th–90th $851$12,3030%20%10th90th$3,981Professionalmedian $9,772 · 10th–90th $5,012$13,8040%10%20%10th90th$9,772$10.0$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
$5,011.87 / $9,549.93 / $13,489.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,202.26 / $1,202.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $13,489.63 / $38,904.51
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,467.37 / $5,248.07
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,332.54 / $9,332.54 / $9,332.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,220.18 / $11,220.18 / $11,220.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $9,549.93 / $20,892.96
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,022.64 / $12,022.64 / $14,454.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $831.76 / $9,549.93
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $12,302.69 / $12,302.69
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $11,220.18 / $12,589.25
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,165.95 / $9,549.93 / $11,220.18
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,022.64 / $12,022.64 / $12,302.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $1,023.29 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,981.07 / $5,128.61 / $10,715.19