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Virginia 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
$11,224.65 / $11,224.65 / $11,224.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,836.80 / $11,224.65 / $13,829.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,370.01 / $13,370.01 / $13,370.01
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,567.60 / $12,567.60 / $12,567.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,645.60 / $11,155.72 / $11,155.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,347.76 / $11,155.72 / $11,155.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,836.80 / $7,911.07 / $12,107.61
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,556.80 / $10,556.80 / $10,556.80
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$955.14 / $1,555.80 / $14,966.20
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.14 / $1,555.80 / $14,966.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,380.35 / $5,990.04 / $8,273.99