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Utah rates for HCPCS E2215

Manual Wheelchair Accessory Tube For Pneumatic Ca Ster Tire Any Size Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.67 / $3.67 / $33.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $8.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.80 / $8.00 / $14.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.49 / $7.98 / $11.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.14 / $5.84 / $8.16