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Utah rates for HCPCS K0017

Detachable Adjustable Height Armrest Base Replacement Only Each (Revised 01/01/2016)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.55 / $19.55 / $165.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.64 / $37.64 / $37.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.99 / $37.64 / $66.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $37.74 / $54.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.55 / $28.61 / $43.44