go back

Washington, DC 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
$8,135.84 / $8,135.84 / $8,135.84
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,709.38 / $15,709.38 / $15,709.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,792.03 / $7,188.04 / $7,188.04