go back

Utah rates for HCPCS E0959

Manual wheelchair accessory, adapter for amputee, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $38.90 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $26.30 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $26.30 / $60.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $40.74 / $60.26
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $57.54 / $61.66
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $6.92 / $57.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $17.38 / $38.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $25.12 / $47.86