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Utah rates for HCPCS E2629

Wheelchair Accessory Shoulder Elbow Mobile Arm Support Attached To Wheelchair Balanced Frictionarm Support (Friction Dampening To Proximal And Distal Joints)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.47 / $474.47 / $3,355.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.97 / $394.97 / $394.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.33 / $394.97 / $1,311.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.23 / $717.44 / $1,036.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.20 / $548.04 / $862.67