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Utah rates for HCPCS K0854

Power wheelchair, group 3 extra heavy-duty, sling/solid seat/back, patient weight capacity 601 pounds or more

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,554.24 / $6,554.24 / $6,554.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,694.63 / $10,694.63 / $10,694.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.51 / $10,694.63 / $20,182.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,940.17 / $6,948.27 / $11,015.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,102.02 / $4,922.04 / $9,115.60