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Utah rates for HCPCS K0858

Power Wheelchair Group 3 Heavy Duty Single Power Option Sling/Solid Seat/Back Patient Weight Capicity 301 To 450 Pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,785.60 / $4,785.60 / $4,785.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,978.93 / $4,978.93 / $4,978.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.47 / $4,978.93 / $14,737.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,876.91 / $5,073.26 / $8,042.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,116.79 / $3,593.88 / $6,926.20