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Utah rates for HCPCS E2611

General use wheelchair back cushion, width less than 22 in, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.48 / $119.48 / $643.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.72 / $126.72 / $169.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.71 / $126.72 / $207.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.87 / $119.09 / $172.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.19 / $119.48 / $265.50