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Utah rates for HCPCS E2623

Skin protection wheelchair seat cushion, adjustable, width 22 in or greater, any depth

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.27 / $178.27 / $1,381.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $333.25 / $333.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.26 / $333.25 / $555.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.18 / $313.82 / $453.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.23 / $238.87 / $376.07