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Utah rates for HCPCS K0814

Power Wheelchair Group 1 Standard Portable Captains Chair Patient Weight Capacity Up To And Including 300 Pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,099.67 / $2,099.67 / $2,099.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,416.31 / $2,416.31 / $2,416.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.99 / $2,416.31 / $3,982.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,228.59 / $1,228.59 / $2,365.50