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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
$39.81 / $112.20 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $61.66 / $169.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $95.50 / $138.04
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $147.91 / $147.91
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $19.95 / $147.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $42.66 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $61.66 / $109.65