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Utah rates for HCPCS K0015

Detachable, nonadjustable height armrest, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.50 / $69.50 / $69.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.17 / $64.17 / $64.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.43 / $64.17 / $202.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.37 / $110.00 / $174.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.50 / $72.31 / $154.44