go back

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
$240.80 / $240.80 / $240.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $296.00 / $296.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.60 / $251.60 / $296.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $161.07 / $279.20