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Hawaii 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
$102.33 / $102.33 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $20.89 / $89.13
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $275.42 / $275.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $9.12 / $91.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $97.72 / $134.90