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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

Facilitymedian $7,586 · 10th–90th $1,000–$13,1830%20%10th90th$7,586Professionalmedian $12,589 · 10th–90th $8,913–$16,9820%20%10th90th$12,589$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $12,589.25 / $17,378.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,803.84 / $15,848.93 / $15,848.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $13,182.57 / $13,803.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,220.18 / $11,220.18 / $13,182.57
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $9,549.93 / $9,549.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $1,348.96 / $8,128.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $6,606.93 / $9,772.37