go back

Utah rates for HCPCS E2626

Wheelchair Accessory Shoulder Elbow Moblie Arm Support Attached To Wheelchair Balanced Adjustable

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.89 / $311.89 / $2,175.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.13 / $278.13 / $278.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.03 / $278.13 / $895.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.67 / $510.48 / $737.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.19 / $366.44 / $567.09