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Utah rates for HCPCS K0108

Wheelchair Component Or Accessory Not Otherwise Specified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $125.00 / $125.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.57 / $228.57 / $228.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.89 / $99.89 / $228.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $45.00 / $60.00