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Iowa rates for HCPCS E2622

Skin protection wheelchair seat cushion, adjustable, width less than 22 in, any depth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.43 / $228.43 / $275.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.10 / $209.58 / $315.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.45 / $263.45 / $427.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.72 / $448.17 / $560.21
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.96 / $37.85 / $37.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.73 / $450.60 / $1,779.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.32 / $204.30 / $516.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.78 / $42.78 / $101.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.45 / $52.77 / $337.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.58 / $204.30 / $516.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.47 / $349.96 / $349.96