go back

Utah rates for HCPCS K0823

Power wheelchair, group 2 standard, captain's chair, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,754.23 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $2,290.87 / $3,981.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $1,318.26 / $2,089.30
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,290.87 / $3,715.35
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $338.84 / $4,466.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $331.13 / $2,818.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $1,737.80 / $3,981.07