go back

Missouri 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
$77.06 / $123.67 / $168.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.47 / $140.29 / $172.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.51 / $115.51 / $151.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.18 / $115.51 / $138.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.01 / $185.43 / $829.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.08 / $117.71 / $209.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.01 / $101.03 / $197.83