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Massachusetts 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 $7,943 · 10th–90th $813–$12,3030%20%40%10th90th$7,943Professionalmedian $9,333 · 10th–90th $6,026–$13,8040%20%10th90th$9,333$1.0$5.0$20.0$100.0$500.0$2.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $7,943.28 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,760.83 / $9,549.93 / $13,803.84
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $11,748.98 / $12,302.69
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,981.07 / $7,762.47 / $11,748.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,187.76 / $2,238.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,220.18 / $11,220.18 / $12,022.64
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $11,220.18 / $20,892.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $15,848.93 / $15,848.93
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,128.31 / $8,128.31 / $8,128.31
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $11,748.98 / $12,302.69
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,981.07 / $7,762.47 / $11,748.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $1,023.29 / $8,128.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,981.07 / $7,762.47 / $15,848.93