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Maine 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
$123.65 / $123.65 / $260.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $183.65 / $340.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.58 / $131.76 / $143.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.51 / $115.51 / $182.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.51 / $115.51 / $138.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.36 / $127.36 / $127.36
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.06 / $123.65 / $260.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.82 / $111.81 / $261.77