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Utah rates for HCPCS K0195

Elevating legrests, pair (for use with capped rental wheelchair base)

Facilitymedian $89 · 10th–90th $8$930%50%10th90th$89Professionalmedian $79 · 10th–90th $13$1350%20%10th90th$79$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $79.43 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $89.13 / $158.49
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $134.90 / $208.93
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $134.90 / $199.53
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $13.49 / $16.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $11.22 / $95.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $11.75 / $117.49