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Utah rates for HCPCS E2204

Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 in

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.13 / $311.13 / $2,607.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.42 / $581.42 / $763.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.22 / $581.42 / $1,038.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.39 / $575.40 / $832.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.13 / $449.15 / $691.39