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Montana 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
$302.00 / $302.00 / $478.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $302.00 / $416.87
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $309.03 / $467.74
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $309.03 / $467.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $331.13 / $416.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $302.00 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $165.96 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $190.55 / $218.78