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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

Facilitymedian $8,128 · 10th–90th $661–$16,5960%10%10th90th$8,128Professionalmedian $12,023 · 10th–90th $6,166–$16,9820%20%10th90th$12,023$20.0$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
$8,912.51 / $12,022.64 / $16,595.87
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $691.83 / $1,174.90
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,454.40 / $17,782.79 / $30,902.95
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 / $11,220.18 / $25,118.86
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $13,182.57 / $18,197.01
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $6,165.95 / $11,481.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $2,187.76 / $9,549.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,248.07 / $6,165.95 / $11,481.54