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Arkansas rates for HCPCS E2612

General use wheelchair back cushion, width 22 in or greater, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $197.21 / $197.21
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.39 / $303.39 / $303.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149,999.85 / $399,999.60 / $999,999.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.69 / $429.73 / $477.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.83 / $283.73 / $508.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.83 / $283.73 / $508.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.78 / $243.78 / $327.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.21 / $243.78 / $327.93
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.91 / $348.91 / $348.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.77 / $202.75 / $354.94