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Utah rates for HCPCS E2378

Power wheelchair component, actuator, replacement only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.99 / $258.99 / $258.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.88 / $450.88 / $450.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.68 / $450.88 / $798.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.05 / $410.98 / $651.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.04 / $281.70 / $518.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.90 / $327.66 / $470.89