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Utah rates for HCPCS E2377

Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $426.58 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $281.84 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $281.84 / $645.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $338.84 / $537.03
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $575.44 / $588.84
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $57.54 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $190.55 / $436.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $275.42 / $489.78