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Massachusetts 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
$174.41 / $174.41 / $174.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.82 / $174.41 / $401.08
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.17 / $316.75 / $1,798.02
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.75 / $312.92 / $367.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.79 / $509.79 / $524.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.32 / $343.37 / $343.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.45 / $263.45 / $371.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.93 / $325.44 / $548.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.49 / $302.49 / $302.49
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.18 / $265.18 / $265.18
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,798.02 / $1,798.02
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.77 / $192.10 / $326.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.77 / $196.18 / $388.84