go back

Utah rates for HCPCS K0842

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $3,715.35 / $4,365.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $3,630.78 / $5,754.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,949.84 / $2,398.83
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,388.44 / $4,365.16
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $501.19 / $4,786.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $436.52 / $3,311.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $1,995.26 / $4,570.88