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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
$724.44 / $2,041.74 / $2,344.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $1,621.81 / $2,951.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,584.89 / $2,511.89
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,691.53 / $2,691.53
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $269.15 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $776.25 / $1,778.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $1,122.02 / $2,041.74