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Idaho rates for HCPCS E2623

Skin protection wheelchair seat cushion, adjustable, width 22 in or greater, any depth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.69 / $434.69 / $434.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.31 / $434.69 / $535.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $333.25 / $333.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.26 / $333.25 / $376.21
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.56 / $363.80 / $535.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.87 / $380.94 / $482.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.44 / $354.51 / $364.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.74 / $464.74 / $776.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.05 / $238.87 / $393.60