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Utah rates for HCPCS E2291

Back Planar For Pediatric Size Wheelchair Including Fixed Attaching Hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.22 / $287.22 / $287.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.13 / $180.13 / $180.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.11 / $180.13 / $180.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $120.81 / $209.40