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Kansas 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
Facility
Modifier
Low / Median / High Price
$360.71 / $360.71 / $360.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $205.07 / $360.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.47 / $502.47 / $502.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.78 / $243.78 / $243.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.78 / $243.78 / $538.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.62 / $337.68 / $1,749.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.77 / $199.69 / $393.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.13 / $199.69 / $377.12