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California rates for HCPCS K0877

Power wheelchair, group 4 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds

Facilitymedian $631 · 10th–90th $100$5,1290%50%10th90th$631Professionalmedian $5,129 · 10th–90th $5,129$6,9180%50%90th$5,129$100.0$200.0$500.0$1.0K$2.0K$5.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$9,772.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$16,595.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$7,079.46
Typical High
$15,488.17
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$831.76
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Providence
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$6,918.31
Providence
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$10,232.93
Typical High
$16,595.87
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$398.11