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Utah rates for HCPCS E1296

Special Wheelchair Seat Height From Floor (Special Coverage Instructions Apply. See Cim: 60-6)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.06 / $188.06 / $1,864.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.00 / $234.00 / $234.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.90 / $234.00 / $966.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.91 / $451.33 / $651.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.06 / $291.29 / $417.92