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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
$398.11 / $1,047.13 / $1,258.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $199.53 / $1,584.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $870.96 / $1,047.13
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,445.44 / $1,479.11
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $147.91 / $177.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $416.87 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $602.56 / $1,096.48