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Utah rates for HCPCS E2293

Back, contoured, for pediatric size wheelchair including fixed attaching hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $407.38 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $295.12 / $407.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $162.18 / $281.84