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Utah rates for HCPCS E0961

Manual wheelchair accessory, wheel lock brake extension (handle), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $16.98 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $15.85 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $15.85 / $30.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $17.78 / $60.26
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $25.12 / $34.67
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $3.09 / $28.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $7.94 / $17.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $12.88 / $25.12