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Utah rates for HCPCS E1250

Lightweight wheelchair, fixed full-length arms, swing-away detachable footrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $478.63 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $199.53 / $691.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $60.26
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,445.44
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $60.26 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $309.03 / $676.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $426.58 / $691.83