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Utah rates for HCPCS E2381

Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.14 / $29.14 / $208.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.02 / $48.02 / $48.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.82 / $48.02 / $82.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.84 / $44.80 / $69.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.14 / $36.02 / $64.75