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Alaska rates for HCPCS K0195

Elevating legrests, pair (for use with capped rental wheelchair base)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.90 / $229.90 / $229.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.70 / $88.70 / $88.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.40 / $75.40 / $75.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.59 / $93.94 / $136.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.92 / $20.92 / $22.97
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.44 / $28.60 / $286.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.59 / $92.51 / $136.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.40 / $75.40 / $75.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.91 / $20.92 / $38.20