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Utah rates for HCPCS E1100

Semi-Reclining Wheelchair Fixed Full Length Arms 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
$397.08 / $397.08 / $397.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.36 / $999.36 / $999.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.55 / $999.36 / $1,428.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.14 / $610.41 / $799.83