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Minnesota 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
$231.64 / $231.64 / $231.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.85 / $231.64 / $288.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.07 / $442.35 / $461.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.17 / $392.71 / $422.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.62 / $267.62 / $961.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.88 / $450.33 / $566.26
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.81 / $679.81 / $756.71
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.88 / $445.88 / $445.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.08 / $402.45 / $1,807.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.49 / $213.95 / $449.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.49 / $206.47 / $511.62