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Kansas 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
$19,336.46 / $19,336.46 / $19,336.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,135.84 / $14,193.78 / $19,336.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,629.80 / $13,629.80 / $13,629.80
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 / $13,275.38 / $31,317.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,135.84 / $14,193.78 / $18,639.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.23 / $6,783.14 / $10,183.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,137.51 / $7,128.15 / $11,583.30