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Alabama rates for HCPCS K0195

Elevating Leg Rests Pair (For Use With Capped Rental Wheelchair Base) (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.15 / $83.01 / $127.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.60 / $137.60 / $137.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.70 / $88.70 / $116.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.41 / $88.70 / $196.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.74 / $13.70 / $113.54