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Colorado 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
$166.46 / $191.20 / $242.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.08 / $304.95 / $374.60
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 / $430.88
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.62 / $247.58 / $528.17
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $161.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.56 / $367.94 / $533.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.15 / $226.05 / $289.33