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Kentucky 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
$178.72 / $178.72 / $264.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.46 / $198.15 / $264.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.14 / $340.14 / $340.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.08 / $357.19 / $359.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.83 / $340.48 / $629.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.40 / $381.60 / $624.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.78 / $243.78 / $512.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.21 / $243.78 / $420.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.36 / $100.00 / $253.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.78 / $221.60 / $359.16