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Utah rates for HCPCS E2394

Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.36 / $29.36 / $207.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.18 / $46.18 / $46.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.25 / $46.18 / $80.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.68 / $40.57 / $64.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.36 / $41.06 / $65.23