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Utah rates for HCPCS E2614

Positioning wheelchair back cushion, posterior, width 22 in or greater, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.05 / $208.05 / $1,561.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.71 / $358.71 / $358.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.89 / $358.71 / $612.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.62 / $353.65 / $510.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $247.52 / $427.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.05 / $270.02 / $462.34