go back

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $8,128.31 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,128.31 / $12,589.25 / $16,982.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,182.57 / $13,182.57 / $13,182.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $11,220.18 / $13,182.57
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,778.28 / $2,089.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,715.19 / $11,220.18 / $22,387.21
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $12,302.69 / $12,302.69
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,302.69 / $12,302.69 / $12,302.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $13,182.57 / $2,691,534.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $11,220.18 / $11,220.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $9,549.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,754.40 / $6,165.95 / $11,748.98