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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
$239.88 / $239.88 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $218.78 / $281.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $398.11 / $489.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $295.12 / $457.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $457.09 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $269.15 / $436.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $165.96 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $208.93 / $302.00