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Utah rates for HCPCS E1004

Wheelchair Accessory Power Seating System Recline Only With Mechanical Shear Reduction

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.41 / $1,862.41 / $1,862.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,282.89 / $3,282.89 / $3,282.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.28 / $3,282.89 / $6,731.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,966.48 / $3,467.77 / $5,497.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.41 / $2,859.96 / $4,138.68