go back

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
$375.26 / $375.26 / $375.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.59 / $359.59 / $359.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.09 / $305.64 / $1,687.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.15 / $576.86 / $756.03