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Michigan rates for HCPCS E2624

Skin Protection And Positioning Wheelchair Seat Cushion Adjustable Width Less Than 22 Inches Any Depth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.14 / $294.14 / $294.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.40 / $294.14 / $295.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.52 / $1,057.98 / $1,847.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.59 / $288.49 / $519.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.01 / $196.21 / $296.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.78 / $230.79 / $321.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.62 / $267.62 / $330.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.62 / $275.64 / $330.59
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.40 / $290.83 / $402.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.81 / $6.81 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.38 / $198.33 / $280.44