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Minnesota 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
$228.43 / $228.43 / $228.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.41 / $228.43 / $283.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.72 / $435.31 / $454.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.49 / $388.12 / $417.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.45 / $325.44 / $945.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.75 / $456.30 / $557.21
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.49 / $668.49 / $744.11
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.75 / $438.75 / $438.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.63 / $399.17 / $1,779.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.72 / $210.98 / $429.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.72 / $210.98 / $444.55