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Utah rates for HCPCS K0852

Power wheelchair, group 3 very heavy-duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,816.16 / $4,816.16 / $4,816.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,109.46 / $5,109.46 / $5,109.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.20 / $4,343.04 / $18,539.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,895.26 / $5,105.63 / $8,094.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,136.95 / $3,616.80 / $6,971.00