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Montana rates for HCPCS E2623

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

Insurance Carrier
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.64 / $51.64 / $51.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $333.25 / $517.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.25 / $517.97 / $517.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $406.33 / $517.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.25 / $376.21 / $517.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.64 / $238.87 / $398.11