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Utah rates for HCPCS E0986

Manual Wheelchair Accessory Push-Rim Activated Power Assist Sytem (Revised 11/11/2014)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,860.57 / $1,860.57 / $1,860.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,900.00 / $2,900.00 / $2,958.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.34 / $2,900.00 / $7,878.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,315.64 / $4,068.52 / $6,450.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,860.57 / $2,860.46 / $4,134.60