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Utah rates for HCPCS E0969

Narrowing device, wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $165.96 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $134.90 / $257.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $141.25 / $204.17
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $213.80 / $223.87
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $26.30 / $218.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $63.10 / $144.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $93.33 / $181.97