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Idaho 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
$343.64 / $343.64 / $343.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.88 / $343.64 / $422.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.45 / $263.45 / $263.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.93 / $263.45 / $408.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.63 / $287.68 / $422.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.85 / $284.41 / $379.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.94 / $279.44 / $286.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.50 / $367.50 / $612.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.58 / $196.71 / $579.95