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Utah rates for HCPCS E1030

Wheelchair accessory, ventilator tray, gimbaled

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.72 / $445.72 / $445.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.51 / $606.51 / $606.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.05 / $606.51 / $1,627.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.33 / $839.98 / $1,331.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.72 / $697.80 / $990.48