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Utah rates for HCPCS E2375

Power wheelchair accessory, nonexpandable controller, including all related electronics and mounting hardware, replacement only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.64 / $327.64 / $327.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.96 / $407.96 / $407.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.33 / $407.96 / $933.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.98 / $472.57 / $749.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.64 / $400.44 / $728.08