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Utah rates for HCPCS E2624

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $1,105.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.62 / $267.62 / $330.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.48 / $267.62 / $445.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.72 / $252.18 / $364.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.09 / $191.23 / $297.97