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New York 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 $5,623 · 10th–90th $724$13,1830%5%10th90th$5,623Professionalmedian $12,589 · 10th–90th $6,607$20,8930%20%10th90th$12,589$50.0$200.0$1.0K$5.0K$20.0K

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
$6,606.93 / $12,589.25 / $20,892.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,471.29 / $15,848.93 / $20,892.96
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $1,819.70 / $23,442.29
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $1,819.70 / $23,442.29
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 / $11,220.18 / $13,182.57
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,772.37 / $12,022.64 / $12,022.64
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $12,022.64 / $12,022.64
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,471.29 / $10,471.29 / $12,022.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $2,187.76 / $9,120.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $7,244.36 / $11,748.98
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $10,471.29 / $12,022.64
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,471.29 / $10,471.29 / $12,022.64