go back

West Virginia 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
$90.66 / $105.63 / $122.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.05 / $110.62 / $147.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.29 / $114.15 / $158.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.51 / $115.51 / $228.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.51 / $138.02 / $151.61
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.21 / $153.21 / $153.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.47 / $105.37 / $188.41