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Idaho 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
Facility
Modifier
Low / Median / High Price
$8,135.84 / $8,135.84 / $8,135.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,135.84 / $12,679.28 / $24,033.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,275.38 / $13,275.38 / $13,275.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,527.46 / $11,284.07 / $13,275.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,135.84 / $13,436.25 / $22,627.77
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,053.14 / $2,053.14 / $2,161.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.36 / $1,063.31 / $7,787.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,178.32 / $6,109.84 / $11,583.30