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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
$632.29 / $632.29 / $632.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.39 / $1,071.00 / $1,071.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.22 / $1,071.00 / $2,677.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.98 / $1,382.51 / $2,191.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.29 / $972.04 / $1,405.09