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Utah rates for HCPCS E2385

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $41.69 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $35.48 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $35.48 / $63.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $34.67 / $50.12
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $54.95 / $57.54
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $6.61 / $54.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $18.62 / $40.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $26.92 / $46.77