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Utah rates for HCPCS E1092

Wide heavy-duty wheel chair, detachable arms (desk or full-length), swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $1,348.96 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $851.14 / $2,089.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $912.01 / $1,122.02
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,548.82 / $1,819.70
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $154.88 / $218.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $524.81 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $758.58 / $1,380.38