go back

Arizona rates for HCPCS E2604

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.32 / $133.49 / $133.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.41 / $5.41 / $6.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.38 / $140.51 / $233.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.51 / $115.51 / $115.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.18 / $115.51 / $205.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.39 / $131.88 / $829.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.40 / $103.21 / $160.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.74 / $103.21 / $160.15