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Utah rates for HCPCS E2383

Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.10 / $58.10 / $437.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.30 / $100.30 / $100.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.26 / $100.30 / $172.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.52 / $94.17 / $149.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.10 / $75.65 / $129.10