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Pennsylvania 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
$70.89 / $82.02 / $100.35
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.07 / $96.56 / $120.70
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 / $196.88
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.49 / $114.67 / $158.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.28 / $80.59 / $90.98
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.70 / $88.70 / $116.40
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.40 / $88.70 / $196.88
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.60 / $145.69 / $154.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $22.09 / $129.00