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Utah rates for HCPCS K0004

High Strength Lightweight Wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.16 / $511.16 / $511.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.00 / $654.75 / $654.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.35 / $654.75 / $674.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.63 / $292.08 / $463.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.67 / $448.08 / $843.63