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Utah rates for HCPCS K0733

Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $25.12 / $138.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $22.39 / $39.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $22.91 / $33.11
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $36.31 / $37.15
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $4.27 / $36.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $11.75 / $23.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $16.22 / $30.90