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Michigan 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
$290.06 / $290.06 / $290.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.13 / $290.06 / $290.37
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.10 / $315.10 / $388.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.79 / $1,041.15 / $1,817.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.89 / $378.53 / $511.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.60 / $194.60 / $291.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.28 / $227.12 / $319.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.45 / $263.45 / $325.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.45 / $303.58 / $548.44
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.31 / $288.45 / $399.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.81 / $6.81 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.00 / $190.82 / $288.39