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Utah rates for HCPCS E1086

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $588.84 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $363.08 / $851.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $60.26
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $1,778.28
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $74.13 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $354.81 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $524.81 / $870.96