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Iowa rates for HCPCS E2611

General use wheelchair back cushion, width less than 22 in, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.25 / $136.25 / $164.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.77 / $128.97 / $189.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.72 / $126.72 / $319.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.72 / $207.75 / $265.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.86 / $17.75 / $19.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.40 / $376.16 / $908.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.66 / $171.11 / $330.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.90 / $31.90 / $75.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.70 / $38.15 / $75.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.66 / $142.59 / $308.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.25 / $261.08 / $261.08