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Missouri 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 $871–$15,4880%10%10th90th$9,772Professionalmedian $12,589 · 10th–90th $8,128–$15,8490%10%20%10th90th$12,589$100.0$500.0$2.0K$10.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$9,772.37 / $12,589.25 / $15,135.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,232.93 / $15,848.93 / $17,378.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $13,182.57 / $19,952.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,220.18 / $11,220.18 / $13,182.57
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $12,882.50 / $18,197.01
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $7,244.36 / $12,022.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $2,187.76 / $9,332.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $7,244.36 / $11,748.98