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Utah rates for HCPCS E2203

Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 in

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.24 / $183.24 / $1,492.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $333.25 / $440.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.26 / $333.25 / $581.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.81 / $328.50 / $473.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.24 / $253.54 / $407.19