go back

New Mexico 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
$8,428.48 / $11,290.99 / $11,290.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.72 / $11,155.72 / $11,155.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,283.58 / $11,155.72 / $11,155.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.64 / $2,724.21 / $14,073.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,836.80 / $9,223.62 / $13,994.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,283.58 / $11,155.72 / $11,155.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,747.08 / $5,134.32 / $7,734.20