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Utah rates for HCPCS E2633

Wheelchair Accessory Addition To Mobile Arm Support Supinator

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.58 / $71.58 / $493.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.53 / $70.53 / $70.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.49 / $70.53 / $189.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.58 / $112.62 / $162.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.57 / $80.98 / $130.15