go back

Utah rates for HCPCS K0862

Power wheelchair, group 3 heavy-duty, multiple power option, sling/solid seat/back, patient weight capacity 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
$5,300.15 / $5,300.15 / $5,406.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.47 / $5,300.15 / $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
$953.43 / $3,593.88 / $6,926.20