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South Dakota 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 $14,454 · 10th–90th $11,482–$40,7380%10%20%10th90th$14,454Professionalmedian $15,849 · 10th–90th $5,754–$25,1190%10%20%10th90th$15,849$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
$14,791.08 / $15,848.93 / $19,952.62
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
$25,118.86 / $25,118.86 / $31,622.78
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $14,454.40 / $40,738.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,754.40 / $7,079.46 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $5,754.40 / $14,791.08
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19,498.45 / $19,498.45 / $19,498.45