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Utah rates for HCPCS K0863

Power wheelchair, group 3 very heavy-duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,836.80 / $6,836.80 / $6,836.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.72 / $11,155.72 / $11,155.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,283.58 / $11,155.72 / $21,056.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,110.06 / $7,247.85 / $11,490.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,380.35 / $5,134.32 / $9,734.10