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Mississippi 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
$83.01 / $97.97 / $116.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.47 / $49.47 / $60.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.50 / $28.50 / $28.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.62 / $14.62 / $14.62
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 / $88.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.74 / $19.39 / $129.76