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Utah rates for HCPCS K0861

Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,863.36 / $3,863.36 / $3,863.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,488.00 / $4,978.93 / $4,978.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.31 / $4,232.09 / $14,873.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,322.48 / $4,095.56 / $6,492.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,506.55 / $3,063.56 / $5,570.10