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Utah rates for HCPCS E1092

Wide Heavy Duty Wheel Chair 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
$491.54 / $491.54 / $491.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.04 / $860.04 / $860.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.91 / $860.04 / $2,081.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.12 / $913.67 / $1,448.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.99 / $755.72 / $990.26