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Ohio 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
Facility
Modifier
Low / Median / High Price
$11,608.03 / $11,608.03 / $11,608.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,354.58 / $11,608.03 / $15,222.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,364.40 / $11,964.50 / $27,478.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,217.90 / $2,161.19 / $12,179.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.22 / $2,161.19 / $12,666.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,568.60 / $13,275.38 / $14,509.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,284.07 / $13,275.38 / $17,970.09
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,568.60 / $13,275.38 / $13,275.38
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,284.07 / $13,275.38 / $13,275.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.61 / $1,443.44 / $9,923.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,236.81 / $6,766.12 / $9,415.12