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Utah rates for HCPCS E1083

Hemi-Wheelchair Fixed Full Length Arms Swing Away Detachable Elevating Leg Rest (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.19 / $301.19 / $301.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.52 / $766.82 / $1,354.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.10 / $462.96 / $606.73