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Utah rates for HCPCS E2395

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.87 / $20.87 / $157.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $34.40 / $34.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $34.40 / $61.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $34.94 / $50.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.64 / $23.45 / $40.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.87 / $25.58 / $46.37