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Utah 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 $4,898 · 10th–90th $724–$13,1830%10%20%10th90th$4,898Professionalmedian $8,128 · 10th–90th $2,138–$15,8490%10%20%10th90th$8,128$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,128.31 / $8,128.31 / $15,848.93
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
$1,513.56 / $13,182.57 / $25,118.86
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $8,709.64 / $10,471.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19,054.61 / $21,877.62 / $22,908.68
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,454.40 / $14,791.08 / $14,791.08
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,187.76 / $13,489.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,445.44 / $9,772.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $6,165.95 / $14,791.08