go back

Massachusetts 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 $9,550 · 10th–90th $977–$14,4540%20%40%10th90th$9,550Professionalmedian $11,220 · 10th–90th $7,244–$16,5960%20%10th90th$11,220$2.0$10.0$50.0$200.0$1.0K$5.0K$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
$9,549.93 / $9,549.93 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,128.31 / $11,481.54 / $16,595.87
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $14,125.38 / $14,454.40
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $9,332.54 / $14,125.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,630.27 / $2,691.53
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $13,182.57 / $14,454.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $13,182.57 / $25,118.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,754.40 / $19,054.61 / $19,054.61
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $9,549.93 / $9,549.93
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $14,125.38 / $14,454.40
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $9,332.54 / $14,125.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $1,202.26 / $9,549.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $9,332.54 / $19,054.61