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Montana 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 $11,749 · 10th–90th $1,072–$14,7910%10%20%10th90th$11,749Professionalmedian $13,183 · 10th–90th $79–$15,8490%20%10th90th$13,183$100.0$200.0$500.0$1.0K$2.0K$5.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15,848.93 / $15,848.93 / $15,848.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $13,182.57 / $13,182.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $13,182.57 / $14,454.40
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $14,454.40 / $17,378.01
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $13,182.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,445.44 / $9,549.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $6,165.95 / $9,120.11