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Utah rates for HCPCS E1170

Amputee wheelchair, fixed full-length arms, swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.60 / $341.60 / $341.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.64 / $766.64 / $766.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.66 / $651.64 / $1,537.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.56 / $503.55 / $688.23