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North Carolina 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 $8,511 · 10th–90th $692–$15,1360%20%10th90th$8,511Professionalmedian $15,136 · 10th–90th $8,913–$15,1360%50%10th$15,136$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
$11,748.98 / $15,135.61 / $15,135.61
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
$1,621.81 / $13,182.57 / $25,118.86
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $15,135.61 / $18,197.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $2,187.76 / $9,120.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $6,918.31 / $11,481.54
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $14,454.40 / $14,454.40