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Utah rates for HCPCS E0304

Hospital bed, extra heavy-duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,947.82 / $2,947.82 / $2,947.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,947.82 / $2,947.82 / $2,947.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.50 / $422.50 / $422.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.50 / $479.92 / $6,708.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,872.59 / $3,122.29 / $5,644.87