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Utah rates for HCPCS K0814

Power wheelchair, group 1 standard, portable, captain's chair, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,511.89 / $2,951.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $2,398.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $2,398.83 / $3,981.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,290.87 / $3,090.30
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $338.84 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $295.12 / $2,344.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $1,258.93 / $2,818.38