go back

Tennessee 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
$11,220.18 / $11,220.18 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,772.37 / $11,220.18 / $13,803.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,481.54 / $14,454.40 / $16,982.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $11,220.18 / $11,220.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,549.93 / $9,549.93 / $11,220.18
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $12,302.69 / $12,302.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,230.27 / $8,128.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.13 / $5,888.44 / $8,128.31