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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

Facilitymedian $245 · 10th–90th $23–$1,7780%10%10th90th$245Professionalmedian $282 · 10th–90th $204–$2880%50%10th90th$282$20.0$50.0$100.0$200.0$500.0$1.0K

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
$204.17 / $281.84 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $245.47 / $426.58
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $295.12 / $295.12
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $288.40 / $512.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $162.18 / $257.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $234.42 / $389.05
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $1,778.28 / $1,778.28