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Massachusetts 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
$222.33 / $222.33 / $222.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.46 / $222.33 / $320.88
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.36 / $443.67 / $1,749.66
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.20 / $330.29 / $361.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.45 / $298.45 / $360.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.78 / $243.78 / $398.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.78 / $243.78 / $430.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.85 / $271.85 / $271.85
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.03 / $338.03 / $338.03
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,749.66 / $1,749.66
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.58 / $236.15 / $380.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.58 / $250.76 / $393.59