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Maine 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 $9,772 · 10th–90th $1,445–$13,1830%20%10th90th$9,772Professionalmedian $12,882 · 10th–90th $11,220–$16,9820%20%10th90th$12,882$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,302.69 / $12,882.50 / $16,595.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,232.93 / $15,848.93 / $15,848.93
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
$1,513.56 / $13,182.57 / $13,182.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $19,054.61 / $19,054.61
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,302.69 / $12,882.50 / $16,595.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $1,445.44 / $9,772.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $16,595.87 / $19,054.61