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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
$13.77 / $13.77 / $116.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.90 / $25.90 / $34.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $25.90 / $45.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.94 / $26.04 / $37.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.77 / $18.93 / $30.60