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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

Facilitymedian $8,128 · 10th–90th $1,202–$11,2200%20%40%10th90th$8,128Professionalmedian $10,965 · 10th–90th $10,000–$13,8040%20%40%10th90th$10,965$1.0K$2.0K$5.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,471.29 / $10,964.78 / $13,803.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,709.64 / $13,489.63 / $13,489.63
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
$1,288.25 / $11,220.18 / $11,220.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $15,848.93 / $15,848.93
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,471.29 / $10,964.78 / $13,803.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $1,202.26 / $8,128.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $13,803.84 / $15,848.93