go back

Florida 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
$65.30 / $80.59 / $113.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $60.24 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.70 / $88.70 / $116.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.40 / $75.40 / $96.35
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.65 / $136.49 / $179.23
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.37 / $185.00 / $3,592.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.31 / $17.77 / $161.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.12 / $11.84 / $105.36
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.59 / $161.59 / $161.59