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Arizona rates for HCPCS E2611

General use wheelchair back cushion, width less than 22 in, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.48 / $136.85 / $168.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.35 / $119.35 / $119.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.54 / $5.54 / $6.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.04 / $144.05 / $199.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.72 / $126.72 / $166.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.71 / $126.72 / $207.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.48 / $168.66 / $908.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.19 / $153.75 / $265.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.19 / $153.75 / $265.50