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Utah rates for HCPCS E1230

Power Operated Vehicle (Three Or Four Wheel Nonhighway) Specify Brand Name And Model Number (Special Coverage Instructions Apply. See Cim: 60-5 And Mcm: 4107.6)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.13 / $865.13 / $7,750.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,786.79 / $1,786.79 / $1,786.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.77 / $1,786.79 / $3,663.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.13 / $1,340.09 / $1,922.52