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Virginia 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
Facility
Modifier
Low / Median / High Price
$13,489.63 / $13,489.63 / $13,489.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,549.93 / $13,489.63 / $16,595.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,848.93 / $15,848.93 / $15,848.93
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,848.93 / $15,848.93 / $15,848.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $13,182.57 / $13,182.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $11,220.18 / $13,182.57
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $11,220.18 / $14,791.08
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,862.09 / $17,782.79
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,862.09 / $17,782.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,445.44 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,165.95 / $7,244.36 / $11,481.54