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Utah rates for HCPCS E2625

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $371.54 / $2,041.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $331.13 / $549.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $316.23 / $446.68
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $489.78 / $501.19
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $58.88 / $489.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $162.18 / $363.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $239.88 / $416.87