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North Carolina 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 / $285.22 / $285.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.78 / $243.78 / $292.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.78 / $243.78 / $430.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.70 / $285.22 / $443.67
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.67 / $443.67 / $443.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.54 / $234.79 / $388.53
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.34 / $1,749.66 / $1,749.66