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Utah rates for HCPCS K0005

Ultralightweight wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.15 / $707.15 / $7,328.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.50 / $1,460.50 / $1,916.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.43 / $1,460.50 / $2,994.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,169.15 / $1,697.15 / $2,451.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.15 / $1,095.38 / $1,571.45