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Indiana rates for HCPCS E2619

Replacement cover for wheelchair seat cushion or back cushion, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.97 / $36.97 / $36.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.86 / $36.97 / $39.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.14 / $53.40 / $59.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.38 / $45.49 / $60.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.24 / $44.76 / $77.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.07 / $39.43 / $71.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.06 / $39.06 / $51.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.20 / $39.06 / $63.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.72 / $29.59 / $45.81