go back

Wisconsin 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 $5,129 · 10th–90th $79$8,3180%50%10th90th$5,129Professionalmedian $5,129 · 10th–90th $5,129$5,2480%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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$5,248.07
Typical High
$5,248.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$5,754.40
Typical High
$7,079.46
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$9,332.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$5,128.61
Typical High
$8,317.64
Medica
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$2,754.23
Quartz
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11