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Rhode Island 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
$77.70 / $83.01 / $94.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.63 / $11.33 / $11.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.70 / $88.70 / $98.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.40 / $75.40 / $75.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.36 / $14.78 / $105.82