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