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Utah rates for HCPCS E2631

Wheelchair accessory, addition to mobile arm support, elevating proximal arm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.72 / $132.72 / $921.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.43 / $244.43 / $244.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.43 / $207.77 / $448.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.47 / $216.98 / $313.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.59 / $152.44 / $241.32