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Minnesota 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
$10,890.37 / $10,890.37 / $10,890.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,533.38 / $10,890.37 / $13,213.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,923.74 / $14,529.12 / $20,354.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,172.45 / $17,715.57 / $19,069.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.72 / $11,155.72 / $45,617.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,056.25 / $21,266.81 / $26,741.44
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,268.53 / $32,268.53 / $35,918.91
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,056.25 / $21,056.25 / $21,056.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,836.80 / $12,107.61 / $18,161.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,422.88 / $5,744.19 / $12,158.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,422.88 / $5,134.32 / $12,158.24