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Utah rates for HCPCS E1093

Wide heavy-duty wheelchair, detachable arms, desk or full-length arms, swing-away detachable footrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $1,174.90 / $1,348.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $707.95 / $1,548.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,380.38 / $1,584.89
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $141.25 / $190.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $446.68 / $1,023.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $645.65 / $1,174.90