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Indiana 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
$235.68 / $235.68 / $235.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.13 / $235.68 / $275.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.04 / $338.78 / $378.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.61 / $293.85 / $387.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.95 / $283.89 / $492.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.17 / $254.47 / $454.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.45 / $263.45 / $325.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.93 / $263.45 / $427.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.72 / $188.58 / $295.54