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Utah rates for HCPCS E2376

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.41 / $513.41 / $513.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.26 / $642.26 / $642.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.88 / $642.26 / $1,755.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.37 / $903.54 / $1,432.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.41 / $756.24 / $1,140.93