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Utah rates for HCPCS E1224

Wheelchair with detachable arms, elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $870.96 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $426.58 / $1,122.02
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
$954.99 / $977.24 / $1,096.48
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $97.72 / $117.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $331.13 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $478.63 / $870.96