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Utah 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 $4,074 · 10th–90th $708–$11,2200%10%20%10th90th$4,074Professionalmedian $8,128 · 10th–90th $1,862–$13,1830%20%10th90th$8,128$100.0$500.0$2.0K$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
$6,760.83 / $6,760.83 / $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 / $20,892.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,073.80 / $7,244.36 / $8,912.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15,848.93 / $18,620.87 / $19,498.45
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,022.64 / $12,302.69 / $12,302.69
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,862.09 / $11,220.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $1,230.27 / $8,128.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $5,128.61 / $12,302.69