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Wyoming 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
$10,806.00 / $10,806.00 / $18,924.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,105.50 / $21,105.50 / $21,105.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,275.38 / $13,275.38 / $13,275.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,275.38 / $13,275.38 / $13,275.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,178.32 / $6,109.84 / $9,203.70