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Utah rates for HCPCS K0849

Power wheelchair, group 3 standard, captain's chair, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $6,918.31 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $3,090.30 / $10,715.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $3,630.78 / $5,754.40
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,165.95 / $6,309.57 / $6,309.57
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $933.25 / $5,623.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $616.60 / $4,073.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $2,570.40 / $5,128.61