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Indiana rates for HCPCS E2604

Skin Protection Wheelchair Seat Cushion Width 22 Inches Or Greater Any Depth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.13 / $115.13 / $115.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.06 / $115.13 / $122.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.59 / $155.88 / $174.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.21 / $167.04 / $220.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.42 / $144.65 / $255.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.81 / $137.16 / $235.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.51 / $115.51 / $151.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.18 / $115.51 / $220.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.82 / $92.16 / $168.16