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Utah rates for HCPCS E2604

Skin protection wheelchair seat cushion, width 22 in or greater, any depth

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.06 / $72.06 / $529.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.51 / $115.51 / $151.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.18 / $115.51 / $205.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.00 / $120.49 / $174.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.06 / $86.74 / $160.15