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Utah rates for HCPCS E0958

Manual wheelchair accessory, one-arm drive attachment, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.91 / $166.91 / $166.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.00 / $238.50 / $238.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.73 / $238.50 / $615.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.11 / $289.41 / $458.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.04 / $156.22 / $269.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.90 / $191.76 / $336.31