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West Virginia 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
$93.33 / $120.23 / $158.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $128.82 / $245.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $138.04 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $190.55 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $154.88 / $213.80
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $85.11 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $165.96 / $331.13