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Pennsylvania 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 $6,026 · 10th–90th $832–$13,1830%10%20%10th90th$6,026Professionalmedian $11,482 · 10th–90th $5,495–$14,4540%20%40%10th90th$11,482$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,244.36 / $11,481.54 / $14,125.38
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $14,454.40 / $14,454.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $13,182.57 / $13,803.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,220.18 / $11,220.18 / $25,118.86
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,803.84 / $13,803.84 / $16,982.44
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,244.36 / $12,022.64 / $14,125.38
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,748.98 / $11,748.98 / $20,417.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $1,445.44 / $9,120.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $7,244.36 / $12,589.25