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Utah rates for HCPCS K0855

Power Wheelchair Group 3 Extra Heavy Duty Captains Chair Patient Weight Capacity 601 Poundsor More

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,191.44 / $6,191.44 / $6,191.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,102.62 / $10,102.62 / $10,102.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.40 / $10,102.62 / $19,068.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,722.06 / $6,563.63 / $10,405.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,836.39 / $4,649.60 / $8,525.29