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Michigan 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
$367.41 / $367.41 / $367.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.61 / $367.20 / $367.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.03 / $1,316.60 / $2,298.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.82 / $359.01 / $646.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.12 / $247.61 / $369.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.29 / $287.20 / $406.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $333.25 / $333.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.25 / $335.76 / $555.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.61 / $367.05 / $507.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.81 / $6.81 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.90 / $258.77 / $398.11