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Utah rates for HCPCS E1260

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.38 / $328.38 / $328.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.00 / $200.00 / $551.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.10 / $518.34 / $898.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.64 / $502.80 / $815.82