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New Jersey 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
$5,478.92 / $9,987.60 / $17,896.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,275.38 / $13,275.38 / $13,275.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,284.07 / $13,275.38 / $25,053.75
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.51 / $14,376.08 / $14,376.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,763.20 / $7,188.04 / $8,913.96