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Indiana rates for HCPCS E2624

Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 in, any depth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.00 / $239.00 / $239.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.40 / $239.00 / $272.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.87 / $344.26 / $384.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.33 / $296.27 / $391.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.42 / $288.49 / $500.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.70 / $256.58 / $461.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.62 / $267.62 / $330.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.48 / $267.62 / $410.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.49 / $191.23 / $297.97