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Missouri 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
$8,297.42 / $11,927.55 / $15,039.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,033.53 / $11,589.60 / $13,370.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,645.60 / $11,155.72 / $11,155.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,347.76 / $11,155.72 / $11,155.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,836.80 / $10,291.46 / $13,829.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,278.60 / $6,040.36 / $12,322.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,278.60 / $6,040.36 / $9,820.85