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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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,873.94 / $14,193.78 / $19,336.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,369.96 / $13,791.74 / $15,910.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,568.60 / $13,275.38 / $13,275.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,603.83 / $13,275.38 / $13,275.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,135.84 / $12,246.81 / $16,456.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,091.54 / $7,188.04 / $14,663.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,062.03 / $7,188.04 / $14,794.01