go back

Maine rates for HCPCS E2623

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.45 / $292.45 / $520.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.18 / $551.58 / $1,022.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.45 / $335.07 / $373.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $333.25 / $470.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.26 / $333.25 / $376.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.52 / $382.52 / $382.52
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.54 / $292.45 / $520.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.24 / $288.82 / $601.65