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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

Facilitymedian $11,220 · 10th–90th $2,089–$17,7830%10%10th90th$11,220Professionalmedian $15,136 · 10th–90th $2,089–$22,3870%10%20%10th90th$15,136$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,489.63 / $16,595.87 / $22,387.21
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $13,182.57 / $13,182.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,220.18 / $13,182.57 / $13,182.57
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $10,715.19 / $16,982.44
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $15,135.61 / $22,387.21
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,089.30 / $20,892.96
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $4,365.16 / $20,892.96
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $12,589.25 / $17,782.79
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $11,220.18 / $13,182.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,445.44 / $9,549.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,244.36 / $13,803.84 / $25,118.86