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Utah rates for HCPCS E2384

Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.95 / $30.95 / $218.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.69 / $48.69 / $48.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.39 / $48.69 / $86.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.33 / $46.44 / $73.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.95 / $37.82 / $68.77