go back

Kentucky 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
$9,462.52 / $9,462.52 / $13,988.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,491.06 / $13,144.38 / $13,988.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,341.04 / $11,364.40 / $15,910.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,620.90 / $3,133.74 / $19,486.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,161.19 / $3,565.98 / $20,406.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,568.60 / $13,275.38 / $14,509.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,527.46 / $11,284.07 / $13,275.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.13 / $1,094.62 / $10,946.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,792.03 / $6,963.76 / $9,845.81