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Iowa rates for HCPCS E2604

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.91 / $112.91 / $136.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.50 / $101.35 / $155.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.51 / $115.51 / $229.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.51 / $205.50 / $256.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.55 / $17.42 / $17.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.18 / $284.38 / $829.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.74 / $109.30 / $267.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.92 / $22.92 / $54.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.77 / $27.41 / $54.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.26 / $101.19 / $255.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.21 / $187.61 / $187.61