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Alaska rates for HCPCS K0864

Power wheelchair, group 3 extra heavy-duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,627.77 / $22,627.77 / $22,627.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,275.38 / $13,275.38 / $13,275.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,284.07 / $13,275.38 / $13,275.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,135.84 / $12,169.13 / $18,102.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,053.14 / $2,053.14 / $2,161.19
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,409.40 / $17,409.40 / $43,523.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,135.84 / $12,679.28 / $17,896.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,284.07 / $13,275.38 / $13,275.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,963.76 / $13,777.08 / $23,908.92