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Utah rates for HCPCS E2214

Manual wheelchair accessory, pneumatic caster tire, any size, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $28.84 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $25.70 / $44.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $28.84 / $60.26
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $40.74 / $43.65
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $4.90 / $40.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $12.88 / $28.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $19.05 / $36.31