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Utah rates for HCPCS K0859

Power Wheelchair Group 3 Heavy Duty Single Poweroption Captains Chair Patient Weight Capacity 301 To 450 Pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,563.92 / $4,563.92 / $4,563.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,447.14 / $7,447.14 / $7,447.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.86 / $7,447.14 / $14,055.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,020.27 / $3,427.44 / $6,711.70