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Kansas 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
Facility
Modifier
Low / Median / High Price
$146.16 / $146.16 / $146.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.64 / $83.01 / $146.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.40 / $178.40 / $178.40
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 / $96.35 / $196.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.30 / $90.78 / $146.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.74 / $16.86 / $121.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.40 / $21.07 / $121.65