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Utah rates for HCPCS E0967

Manual Wheelchair Accessory Hand Rim With Projections Any Type Replacement Only Each (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.13 / $25.13 / $237.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.33 / $44.33 / $44.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.68 / $44.33 / $127.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.07 / $58.16 / $84.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.13 / $41.08 / $55.84