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Utah rates for HCPCS E0995

Wheelchair accessory, calf rest/pad, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.63 / $11.63 / $95.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.85 / $21.85 / $28.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.57 / $21.85 / $37.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $21.36 / $30.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.63 / $15.98 / $25.84