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Utah rates for HCPCS E1003

Wheelchair Accessory Power Seating System Recline Only Without Shear Reduction

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,679.67 / $1,679.67 / $1,679.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,248.38 / $3,248.38 / $3,248.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.13 / $3,248.38 / $6,123.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,789.10 / $3,154.98 / $5,001.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,679.67 / $2,596.26 / $3,732.61