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Utah rates for HCPCS E0984

Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.80 / $730.80 / $730.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,639.62 / $1,639.62 / $1,639.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.66 / $1,639.62 / $2,962.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.12 / $1,597.90 / $2,533.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.80 / $1,123.40 / $1,623.99