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California 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 $4,677 · 10th–90th $1,000–$14,7910%20%10th90th$4,677Professionalmedian $11,482 · 10th–90th $5,888–$16,5960%10%20%10th90th$11,482$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
$5,888.44 / $11,481.54 / $15,848.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,412.54 / $1,412.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $15,848.93 / $45,708.82
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $4,168.69 / $6,309.57
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,220.18 / $11,220.18 / $11,220.18
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
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,022.64 / $12,022.64 / $14,454.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $831.76 / $11,481.54
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $14,454.40 / $14,454.40
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $13,182.57 / $15,135.61
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,079.46 / $11,220.18 / $13,182.57
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,022.64 / $12,022.64 / $12,302.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $1,202.26 / $8,128.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $6,165.95 / $12,589.25