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Ohio 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
$255.61 / $255.61 / $255.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.82 / $255.61 / $463.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.16 / $598.35 / $957.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.45 / $308.08 / $789.82
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.30 / $507.91 / $530.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.69 / $358.08 / $507.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.11 / $323.80 / $627.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $333.25 / $557.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.26 / $333.25 / $555.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $333.25 / $335.76
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.25 / $333.25 / $333.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.07 / $421.34 / $607.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.24 / $244.45 / $376.07