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Utah rates for HCPCS K0828

Power wheelchair, group 2 extra heavy-duty, sling/solid seat/back, patient weight capacity 601 pounds or more

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,697.60 / $4,697.60 / $4,697.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,860.06 / $7,860.06 / $7,860.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.44 / $7,860.06 / $13,008.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,477.97 / $4,369.76 / $6,927.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,070.98 / $3,564.08 / $6,824.40