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Utah rates for HCPCS E1012

Wheelchair Accessory Addition To Power Seating System Center Mount Power Elevating Leg Rest/ Platform Complete System Any Type Each Deleted 12/31/2004. Previously: Integrated Seating System Planar For Pediatric Wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.10 / $444.10 / $444.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$795.00 / $795.00 / $810.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.49 / $795.00 / $1,571.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $811.01 / $989.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.33 / $668.58 / $807.40