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Utah rates for HCPCS E1015

Reclining Back, Addi To Pediatr Size Wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.88 / $43.88 / $397.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.52 / $93.52 / $122.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.48 / $93.52 / $172.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.37 / $94.90 / $137.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.88 / $68.65 / $97.50