go back

Wisconsin 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 $912–$39,8110%10%20%10th90th$14,454Professionalmedian $14,454 · 10th–90th $5,495–$21,8780%20%10th90th$14,454$100.0$500.0$2.0K$10.0K$50.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $14,454.40 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $14,454.40 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,877.62 / $39,810.72 / $39,810.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15,848.93 / $21,877.62 / $27,542.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $13,182.57 / $89,125.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,220.18 / $26,915.35 / $42,657.95
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $14,454.40 / $17,378.01
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $954.99 / $954.99
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $14,454.40 / $21,379.62
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,754.40 / $7,244.36 / $13,489.63
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $616.60 / $10,471.29
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $4,168.69 / $4,786.30
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $13,182.57 / $14,454.40
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $13,182.57 / $13,182.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $2,398.83 / $9,549.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $7,244.36 / $14,791.08