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Utah rates for HCPCS E0955

Wheelchair Accessory Headrest Cushioned Any Type Including Fixed Mounting Hardware Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.33 / $77.33 / $77.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.12 / $129.12 / $131.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.75 / $129.12 / $202.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $103.80 / $164.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.33 / $80.33 / $171.85