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Utah rates for HCPCS K0853

Power Wheelchair Group 3 Very Heavy Duty Captainchair Patient Weight Capacity 451 To 600 Pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,947.43 / $4,947.43 / $4,947.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,072.81 / $8,072.81 / $8,072.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.85 / $8,072.81 / $15,236.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,974.20 / $5,244.83 / $8,314.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,223.80 / $3,715.40 / $7,164.00