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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

Facilitymedian $6,918 · 10th–90th $646–$13,1830%10%10th90th$6,918Professionalmedian $12,023 · 10th–90th $6,761–$17,7830%20%10th90th$12,023$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $11,481.54 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,481.54 / $12,302.69 / $15,848.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,748.98 / $15,848.93 / $23,442.29
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $2,137.96 / $12,589.25
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,949.84 / $12,589.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $13,182.57 / $13,803.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,220.18 / $11,220.18 / $13,182.57
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $13,182.57 / $13,182.57
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,220.18 / $11,220.18 / $13,182.57
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $2,089.30 / $11,220.18
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,791.08 / $18,197.01 / $24,547.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $2,187.76 / $9,549.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $6,606.93 / $10,471.29