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Utah rates for HCPCS E0300

Pediatric crib, hospital grade, fully enclosed, with or without top enclosure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,085.77 / $1,085.77 / $1,085.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.77 / $1,085.77 / $1,085.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,950.00 / $1,950.00 / $1,950.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.82 / $1,950.00 / $3,611.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.51 / $186.06 / $294.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.33 / $1,253.32 / $1,981.64