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Utah rates for HCPCS K0849

Power Wheelchair Group 3 Standard Captains Chairpatient Weight Capacity Up To And Including 300 Pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,454.88 / $3,454.88 / $3,454.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,087.00 / $3,087.00 / $3,087.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.63 / $3,087.00 / $10,638.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,076.94 / $3,662.56 / $5,806.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,237.44 / $2,594.52 / $4,972.10