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Arizona 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 / $270.22 / $285.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.94 / $10.94 / $13.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.33 / $284.44 / $472.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.78 / $243.78 / $243.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.21 / $243.78 / $430.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $285.22 / $1,749.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.61 / $231.47 / $359.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.15 / $212.18 / $359.16