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Louisiana 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
Professional
Modifier
Low / Median / High Price
$11,733.07 / $15,454.29 / $15,993.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,357.34 / $9,084.07 / $9,084.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,275.38 / $13,275.38 / $14,056.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,527.46 / $13,275.38 / $25,053.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,141.66 / $6,840.12 / $11,583.30