go back

Connecticut 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
$12,722.62 / $16,842.63 / $17,220.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,791.74 / $15,910.41 / $15,910.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,275.38 / $13,275.38 / $13,275.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,284.07 / $13,275.38 / $13,275.38
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,571.60 / $9,571.60 / $9,571.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,485.52 / $6,963.76 / $9,348.04