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Michigan 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
$141.25 / $141.25 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $114.82 / $141.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $131.83 / $645.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $173.78 / $173.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $109.65 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $204.17
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $141.25 / $229.09
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $151.36
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $151.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $75.86 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $117.49 / $158.49