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Utah rates for HCPCS E2396

Power Wheelchair Accessory Caster Fork Any Size Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.44 / $25.44 / $185.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.67 / $42.67 / $42.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.27 / $42.67 / $70.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.19 / $38.40 / $59.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.44 / $31.09 / $56.53