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Utah rates for HCPCS E1237

Wheelchair, pediatric size, rigid, adjustable, without seating system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,737.80 / $2,041.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $1,071.52 / $2,691.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,380.38 / $1,698.24
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,344.23 / $2,344.23
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $234.42 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $660.69 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $977.24 / $1,949.84