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Kentucky 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
$166.79 / $166.79 / $246.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.79 / $227.69 / $283.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.61 / $208.61 / $293.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.85 / $299.38 / $578.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.94 / $378.53 / $605.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.45 / $263.45 / $441.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.93 / $223.93 / $1,832.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $272.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.72 / $204.30 / $295.54