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Utah rates for HCPCS E2212

Manual Wheelchair Accessory Tube For Pneumatic Propulsion Tire Any Size Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $20.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $6.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.84 / $8.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $5.33 / $6.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $3.51 / $5.00