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Utah rates for HCPCS E1016

Shock Absorber For Manual Wheelchair, Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.22 / $50.22 / $386.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.16 / $88.16 / $88.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.94 / $88.16 / $157.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.69 / $88.10 / $127.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.22 / $72.51 / $109.76