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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
$185.78 / $185.78 / $185.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.36 / $279.36 / $382.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.04 / $279.36 / $648.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.23 / $334.69 / $530.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.78 / $278.39 / $412.85