go back

Mississippi 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
$166.46 / $241.75 / $317.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.41 / $353.41 / $353.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.41 / $353.41 / $353.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.78 / $243.78 / $398.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.21 / $243.78 / $326.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.77 / $218.34 / $483.60