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Utah rates for HCPCS E2622

Skin protection wheelchair seat cushion, adjustable, width less than 22 in, any depth

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.10 / $140.10 / $1,090.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.45 / $263.45 / $325.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.93 / $263.45 / $548.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.95 / $248.16 / $358.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.99 / $188.58 / $295.54