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Utah rates for HCPCS E2615

Positioning wheelchair back cushion, posterior-lateral, width less than 22 in, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.01 / $173.01 / $1,249.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.51 / $277.51 / $371.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.88 / $277.51 / $492.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.59 / $275.81 / $397.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.01 / $215.97 / $384.47