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West 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
Professional
Modifier
Low / Median / High Price
$11,354.58 / $13,357.35 / $14,193.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,404.78 / $1,728.96 / $9,147.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,404.78 / $1,512.84 / $9,851.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,275.38 / $13,275.38 / $14,509.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,527.46 / $13,275.38 / $13,275.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,062.03 / $7,188.04 / $11,583.30