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Utah rates for HCPCS E1195

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.56 / $480.56 / $480.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.05 / $1,223.23 / $2,160.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.59 / $738.61 / $968.17