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Utah rates for HCPCS K0004

High strength, lightweight wheelchair

Facilitymedian $389 · 10th–90th $36–$6610%20%10th90th$389Professionalmedian $513 · 10th–90th $50–$9770%20%10th90th$513$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $660.69 / $676.08
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $295.12 / $467.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $501.19 / $1,318.26
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $501.19 / $1,230.27
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $50.12 / $588.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $295.12 / $630.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $398.11 / $630.96