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Utah rates for HCPCS E2364

Power wheelchair accessory, U-1 nonsealed lead acid battery, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $114.82 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $57.54 / $154.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $141.25 / $154.88
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $16.98 / $141.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $45.71 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $66.07 / $117.49