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Colorado 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
$5,413.95 / $10,806.00 / $13,436.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,910.41 / $16,456.56 / $16,456.56
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 / $25,053.75
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,135.84 / $11,733.07 / $18,010.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,301.40 / $10,301.40 / $10,301.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,516.68 / $6,109.84 / $9,203.70