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Washington, DC 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
$80.59 / $80.59 / $80.59
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.40 / $114.40 / $148.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.99 / $7.59 / $7.59