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Arkansas 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
$69.03 / $69.03 / $88.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.68 / $150.46 / $167.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.86 / $13.25 / $25.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.25 / $13.25 / $25.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.70 / $88.70 / $147.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.41 / $75.40 / $96.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.74 / $17.70 / $137.87