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Utah rates for HCPCS E1088

High Strength Lightweight Wheelchair Detachable Arms Desk Or Full Length Swing Away Detachable Elevating Leg Rests (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.67 / $576.67 / $576.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.70 / $396.70 / $396.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.88 / $396.70 / $2,077.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.10 / $1,261.05 / $1,999.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.97 / $886.51 / $1,161.65