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Utah rates for HCPCS E1225

Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.89 / $172.89 / $172.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.50 / $256.50 / $386.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.83 / $256.50 / $543.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.79 / $276.50 / $337.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.19 / $183.19 / $289.64