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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
$229.09 / $229.09 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $229.09 / $275.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $457.09 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $562.34
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $794.33
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $398.11 / $1,819.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $199.53 / $398.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $162.18 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $295.12 / $549.54