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Texas 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 $9,120 · 10th–90th $832$14,7910%20%10th90th$9,120Professionalmedian $13,183 · 10th–90th $7,943$16,9820%20%10th90th$13,183$100.0$500.0$2.0K$10.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $14,454.40 / $16,982.44
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $14,791.08 / $14,791.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $13,182.57 / $13,182.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,220.18 / $11,220.18 / $13,182.57
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $14,454.40 / $14,454.40
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $11,748.98 / $16,218.10
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $16,982.44 / $16,982.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $1,995.26 / $11,748.98
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $13,182.57 / $14,791.08
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,888.44 / $11,220.18 / $13,182.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $3,311.31 / $8,709.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $6,456.54 / $10,964.78
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15,848.93 / $15,848.93 / $15,848.93