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Florida 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
$8,128.31 / $13,489.63 / $15,135.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,182.57 / $13,182.57 / $13,182.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,220.18 / $11,220.18 / $13,182.57
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,481.54 / $11,481.54 / $12,589.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $6,760.83 / $8,317.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $2,187.76 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $6,918.31 / $9,332.54
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,848.93 / $15,848.93 / $15,848.93