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Arkansas 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
$11,316.11 / $11,316.11 / $11,316.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149,999.85 / $399,999.60 / $999,999.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,657.25 / $24,693.44 / $27,437.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,161.19 / $2,161.19 / $2,161.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,161.19 / $2,161.19 / $2,161.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,568.60 / $13,275.38 / $13,275.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,527.46 / $13,275.38 / $13,275.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.23 / $6,867.60 / $8,662.32