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Utah rates for HCPCS E1084

Hemi-wheelchair, detachable arms desk or full-length arms, swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $1,047.13 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $363.08 / $1,348.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,258.93 / $1,412.54
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $128.82 / $141.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $398.11 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $575.44 / $1,047.13