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Missouri rates for HCPCS E2622

Skin protection wheelchair seat cushion, adjustable, width less than 22 in, any depth

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $239.88 / $275.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $288.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $295.12 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $263.03 / $295.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $316.23 / $1,778.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $204.17 / $346.74
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $288.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $162.18 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $190.55 / $338.84