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Utah rates for HCPCS E1238

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.80 / $626.80 / $626.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.26 / $975.26 / $975.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.82 / $975.26 / $2,655.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.26 / $1,370.66 / $2,173.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.80 / $963.59 / $1,392.92