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Utah rates for HCPCS K0813

Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.40 / $1,640.40 / $1,640.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,225.09 / $2,225.09 / $2,225.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.17 / $2,225.09 / $3,768.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.47 / $1,106.56 / $2,016.78