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Hawaii 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 $7,079 · 10th–90th $1,072–$13,1830%10%20%10th90th$7,079Professionalmedian $12,589 · 10th–90th $8,913–$19,9530%20%40%10th90th$12,589$1.0K$2.0K$5.0K$10.0K$20.0K

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
$8,912.51 / $12,589.25 / $19,952.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $13,182.57 / $13,182.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $10,000.00 / $13,182.57
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,791.08 / $15,488.17 / $15,488.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,202.26 / $1,202.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,445.44 / $9,549.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,760.83 / $10,232.93 / $13,803.84