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Utah rates for HCPCS E2392

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.61 / $20.61 / $150.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.36 / $33.36 / $33.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.36 / $33.36 / $58.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.03 / $29.38 / $46.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.61 / $29.75 / $45.80