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Michigan 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
$45.51 / $45.51 / $45.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.86 / $45.51 / $45.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.83 / $218.83 / $286.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.97 / $44.75 / $80.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.88 / $30.15 / $45.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $35.81 / $49.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.06 / $39.06 / $51.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.06 / $44.96 / $51.26
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.97 / $44.65 / $61.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.68 / $27.87 / $44.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.17 / $32.33 / $51.03