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Utah rates for HCPCS K0821

Power wheelchair, group 2 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
$2,249.19 / $2,249.19 / $2,249.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,592.00 / $2,592.00 / $2,592.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.95 / $2,592.00 / $3,993.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,277.72 / $1,277.72 / $2,491.73