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Georgia 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
$9,093.03 / $10,803.60 / $17,220.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.17 / $15,274.59 / $37,821.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.22 / $1,837.02 / $11,962.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,837.02 / $1,837.02 / $1,837.02
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,366.28 / $11,366.28 / $11,366.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,236.81 / $7,188.04 / $14,070.33