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Utah rates for HCPCS E2624

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

Facilitymedian $174 · 10th–90th $17–$2950%10%20%10th90th$174Professionalmedian $282 · 10th–90th $40–$1,6600%10%10th90th$282$5.0$20.0$100.0$500.0

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
$141.25 / $275.42 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $269.15 / $446.68
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $251.19 / $363.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $398.11 / $426.58
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $398.11 / $407.38
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $47.86 / $398.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $131.83 / $295.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $190.55 / $371.54