go back

Missouri 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
$165.00 / $264.77 / $360.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.00 / $295.60 / $374.60
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 / $319.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.19 / $415.87 / $1,749.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.15 / $254.61 / $456.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.15 / $216.43 / $443.67