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Utah rates for HCPCS E1295

Heavy-duty wheelchair, fixed full-length arms, elevating legrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.63 / $464.63 / $464.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.44 / $1,042.44 / $1,042.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.94 / $886.07 / $2,090.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.67 / $863.50 / $1,368.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.75 / $714.14 / $935.80