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Alaska rates for HCPCS E2619

Replacement cover for wheelchair seat cushion or back cushion, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.28 / $63.28 / $63.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.06 / $39.06 / $39.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.20 / $39.06 / $40.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.49 / $34.79 / $50.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $44.07 / $60.73
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $46.51 / $116.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.46 / $34.97 / $49.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.20 / $39.06 / $40.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $57.50 / $105.00