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Utah rates for HCPCS E1110

Semi-reclining wheelchair, detachable arms (desk or full-length) elevating legrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $1,023.29 / $1,258.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $1,000.00 / $1,659.59
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
$1,230.27 / $1,318.26 / $1,380.38
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $134.90 / $173.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $407.38 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $602.56 / $1,096.48