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Oregon 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 $2,138 · 10th–90th $2,089–$12,3030%20%40%10th90th$2,138Professionalmedian $10,715 · 10th–90th $6,166–$14,4540%20%40%10th90th$10,715$100.0$500.0$2.0K$10.0K$50.0K$200.0K$1.0M

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
$8,128.31 / $8,128.31 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,128.31 / $10,715.19 / $12,589.25
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
$11,220.18 / $11,220.18 / $11,220.18
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,778.28 / $11,220.18
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,128.31 / $10,715.19 / $14,454.40
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $12,302.69 / $12,302.69
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,570.40 / $12,302.69
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $13,489.63 / $2,691,534.80
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $11,220.18 / $11,220.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,218.10 / $21,877.62 / $23,988.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $1,445.44 / $9,549.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,754.40 / $6,165.95 / $11,748.98