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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
$4,786.30 / $9,772.37 / $10,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $5,128.61 / $5,128.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $5,128.61 / $14,791.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $5,128.61 / $6,165.95
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,511.38 / $8,709.64 / $8,709.64
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,318.26 / $7,943.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $851.14 / $5,754.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $3,630.78 / $7,079.46