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Utah rates for HCPCS E0950

Wheelchair accessory, tray, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $75.86 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $60.26 / $109.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $61.66 / $89.13
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $97.72 / $104.71
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $11.75 / $97.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $33.11 / $66.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $48.98 / $89.13