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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
$18.94 / $18.94 / $155.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.11 / $35.11 / $35.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.84 / $35.11 / $61.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.07 / $31.88 / $50.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.48 / $26.84 / $40.57