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Maryland rates for HCPCS E2612

General use wheelchair back cushion, width 22 in or greater, any height, including any type mounting hardware

Facilitymedian $170 · 10th–90th $19–$2880%5%10%10th90th$170Professionalmedian $224 · 10th–90th $195–$3240%20%10th90th$224$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $223.87 / $302.00
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $295.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $309.03 / $416.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $162.18 / $281.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $245.47 / $436.52
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $288.40 / $302.00