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Indiana 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
$298.52 / $298.52 / $298.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.61 / $298.52 / $316.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.98 / $342.98 / $342.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.16 / $428.42 / $478.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.45 / $373.92 / $493.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.19 / $359.01 / $622.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.69 / $323.80 / $574.41
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 / $512.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.24 / $238.87 / $376.07