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Montana 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 $9,772 · 10th–90th $891–$12,3030%20%10th90th$9,772Professionalmedian $11,220 · 10th–90th $79–$13,1830%20%10th90th$11,220$100.0$200.0$500.0$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
$13,182.57 / $13,182.57 / $13,182.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,220.18 / $11,220.18 / $11,220.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $11,220.18 / $12,022.64
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $11,481.54 / $14,454.40
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $11,220.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $1,202.26 / $8,128.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $5,128.61 / $7,762.47