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Oklahoma 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
$6,620.02 / $11,354.58 / $14,193.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,275.38 / $13,275.38 / $14,056.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,527.46 / $13,275.38 / $25,053.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,256.75 / $11,922.31 / $14,902.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,141.66 / $6,902.77 / $11,583.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.23 / $6,867.60 / $11,583.30