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Pennsylvania 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 $5,129 · 10th–90th $708–$11,2200%10%20%10th90th$5,129Professionalmedian $9,772 · 10th–90th $4,677–$12,0230%20%10th90th$9,772$1.0K$2.0K$5.0K$10.0K$20.0K

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
$6,025.60 / $9,772.37 / $12,022.64
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $12,022.64 / $12,022.64
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $11,220.18 / $11,748.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $9,549.93 / $20,892.96
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,481.54 / $11,481.54 / $14,125.38
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,025.60 / $10,000.00 / $12,022.64
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,332.54 / $9,332.54 / $17,378.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $1,202.26 / $7,762.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,981.07 / $6,025.60 / $10,471.29