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Utah rates for HCPCS E2619

Replacement cover for wheelchair seat cushion or back cushion, each

Facilitymedian $27 · 10th–90th $3–$460%20%10th90th$27Professionalmedian $46 · 10th–90th $6–$2570%10%20%10th90th$46$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $42.66 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $38.90 / $67.61
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $43.65 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $61.66 / $64.57
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $61.66 / $61.66
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $7.41 / $61.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $20.42 / $45.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $29.51 / $57.54