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Kentucky 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
$208.93 / $208.93 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $281.84 / $338.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $371.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $346.74 / $562.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $478.63 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $389.05 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $331.13 / $389.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $346.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $208.93 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $257.04 / $380.19