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Utah rates for HCPCS E2391

Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.84 / $7.84 / $60.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.81 / $13.81 / $13.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.74 / $13.81 / $23.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.17 / $12.65 / $20.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.84 / $10.44 / $17.43