go back

Texas 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 / $10,654.88 / $14,153.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,145.00 / $1,145.00 / $1,145.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,107.60 / $12,107.60 / $12,107.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.72 / $11,155.72 / $11,812.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,347.76 / $11,155.72 / $11,155.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $12,192.66 / $12,192.66
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,836.80 / $11,045.70 / $12,791.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,670.85 / $1,816.14 / $14,214.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,836.80 / $11,045.70 / $12,107.61
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
$4,278.60 / $5,584.80 / $8,352.94
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,589.60 / $13,370.01 / $13,370.01