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Utah rates for HCPCS K0839

Power wheelchair, group 2 very heavy-duty, single power option sling/solid seat/back, patient weight capacity 451 to 600 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $5,623.41 / $6,456.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $5,495.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $5,495.41 / $8,709.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,951.21 / $3,630.78
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $5,128.61 / $6,456.54
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $758.58 / $7,079.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $660.69 / $4,897.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $2,754.23 / $6,165.95