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Utah rates for HCPCS E2219

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.01 / $16.01 / $144.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.91 / $31.91 / $41.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.12 / $31.91 / $60.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.55 / $31.35 / $45.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.01 / $22.79 / $35.57