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Utah rates for HCPCS E1240

Lightweight wheelchair, detachable arms, (desk or full-length) swing-away detachable, elevating legrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.07 / $394.07 / $394.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.81 / $200.00 / $1,590.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.65 / $861.71 / $1,366.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.72 / $605.87 / $793.73