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Michigan 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 $6,761 · 10th–90th $692–$14,7910%10%20%10th90th$6,761Professionalmedian $13,490 · 10th–90th $8,710–$16,5960%20%10th90th$13,490$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
$16,595.87 / $16,595.87 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,481.54 / $13,489.63 / $16,595.87
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83,176.38 / $83,176.38 / $83,176.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $21,379.62 / $22,908.68
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,412.54 / $9,120.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $13,182.57 / $13,182.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $13,182.57 / $25,118.86
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,709.64 / $14,125.38 / $33,113.11
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $13,182.57 / $13,182.57
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $13,182.57 / $17,782.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $2,187.76 / $9,549.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $6,760.83 / $11,481.54