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Utah rates for HCPCS E1028

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $128.82 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $109.65 / $186.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $104.71 / $151.36
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $162.18 / $218.78
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $16.22 / $169.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $67.61 / $117.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $85.11 / $173.78