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Utah rates for HCPCS E1234

Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.82 / $737.82 / $737.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.78 / $1,208.78 / $1,208.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.49 / $1,208.78 / $3,123.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.91 / $1,613.39 / $2,557.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.82 / $1,134.22 / $1,639.61