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Arizona 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
$7,244.36 / $12,302.69 / $16,595.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $724.44 / $1,096.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,454.40 / $18,197.01 / $39,810.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,182.57 / $13,182.57 / $13,182.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $13,182.57 / $25,118.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $13,182.57 / $18,197.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $6,165.95 / $11,481.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $2,187.76 / $9,549.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $6,165.95 / $11,481.54