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Minnesota 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 / $112.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.23 / $112.91 / $136.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.87 / $212.59 / $219.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.64 / $210.80 / $226.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.51 / $151.61 / $442.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.50 / $207.56 / $260.99
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.80 / $312.80 / $348.18
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.50 / $205.50 / $205.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.06 / $226.91 / $829.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.82 / $97.04 / $245.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.82 / $100.69 / $270.99