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Missouri rates for HCPCS E2624

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $234.42 / $281.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $281.84 / $281.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $295.12 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $269.15 / $302.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $323.59 / $1,819.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $208.93 / $346.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $162.18 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $190.55 / $338.84