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Indiana 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 $13,183 · 10th–90th $1,023–$13,4900%50%10th90th$13,183Professionalmedian $13,490 · 10th–90th $8,511–$16,5960%10%20%10th90th$13,490$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,489.63 / $13,489.63 / $13,489.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $13,489.63 / $15,135.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,481.54 / $15,848.93 / $23,988.33
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $3,235.94 / $20,417.38
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 / $11,220.18 / $20,892.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $2,187.76 / $9,549.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,073.80 / $6,918.31 / $11,220.18