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Utah rates for HCPCS E1297

Special wheelchair seat depth, by upholstery

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.01 / $40.01 / $358.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $62.10 / $62.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.79 / $62.10 / $166.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.15 / $96.03 / $138.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.01 / $61.98 / $88.92