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Utah rates for HCPCS E2295

Manual Wheelchair Accessory For Pediatric Size Wheelchair Dynamic Seating

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.09 / $74.09 / $74.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.69 / $526.69 / $526.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.69 / $526.69 / $526.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $60.00