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Minnesota 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
$289.33 / $289.33 / $289.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.61 / $289.33 / $359.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.35 / $550.48 / $574.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.99 / $492.48 / $530.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $333.25 / $1,195.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.00 / $560.54 / $704.85
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$845.44 / $845.44 / $941.08
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.00 / $555.00 / $555.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.56 / $507.91 / $2,250.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.24 / $257.89 / $564.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.24 / $267.24 / $746.30