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Connecticut 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
$254.41 / $272.83 / $304.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.94 / $295.08 / $295.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.78 / $243.78 / $326.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.21 / $243.78 / $326.36
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.02 / $219.26 / $310.33
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.03 / $338.03 / $338.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.66 / $224.27 / $332.44