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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,935.18 / $7,935.18 / $7,935.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,635.49 / $7,935.18 / $11,280.70
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,476.27 / $10,054.10 / $12,192.66
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,867.05 / $8,142.93 / $9,936.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,104.25 / $2,104.25 / $2,165.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,867.70 / $12,474.02 / $12,474.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.72 / $11,155.72 / $11,812.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,347.76 / $11,155.72 / $26,320.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,809.75 / $14,809.75 / $14,809.75
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,043.28 / $8,043.28 / $8,043.28
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $12,192.66 / $12,192.66
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,026.91 / $6,040.36 / $9,219.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,026.91 / $6,107.20 / $12,107.60