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Rhode Island 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 / $8,924.03 / $9,442.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$965.42 / $1,135.79 / $1,135.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,275.38 / $13,275.38 / $13,275.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,284.07 / $13,275.38 / $13,275.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,707.57 / $8,228.28 / $11,980.07