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Maine 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
$10,872.65 / $10,872.65 / $11,505.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,549.83 / $11,589.60 / $13,370.01
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
$1,283.58 / $11,155.72 / $11,155.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,809.75 / $14,809.75 / $14,809.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,635.49 / $10,872.65 / $11,505.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,026.91 / $6,040.36 / $14,809.75