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Utah 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
$74.13 / $81.28 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $89.13 / $158.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $60.26
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $134.90 / $199.53
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $13.49 / $16.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $11.22 / $95.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $11.22 / $117.49