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Iowa rates for HCPCS K0005

Ultralightweight Wheelchair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.94 / $1,548.94 / $1,847.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.22 / $1,424.97 / $2,103.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.50 / $1,460.50 / $2,793.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,460.50 / $2,994.75 / $3,749.15
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.62 / $258.27 / $258.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.36 / $2,951.61 / $12,056.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.36 / $1,267.11 / $3,470.21
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.39 / $279.39 / $660.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.57 / $334.85 / $660.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.76 / $1,267.11 / $3,470.21
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,805.85 / $2,285.88 / $2,285.88