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Pennsylvania 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
$132.40 / $202.13 / $283.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.83 / $237.83 / $237.83
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.85 / $290.06 / $378.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.45 / $263.45 / $325.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.93 / $223.93 / $548.44
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.25 / $348.25 / $378.53
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.83 / $256.88 / $299.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.35 / $266.13 / $401.08
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.45 / $263.45 / $325.44
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.93 / $297.51 / $548.44
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.39 / $362.58 / $362.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.77 / $208.11 / $365.07