go back

New York 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 / $254.41 / $362.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.08 / $295.08 / $463.19
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.52 / $281.38 / $375.18
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.52 / $281.38 / $375.18
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 / $326.36
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $332.00 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.14 / $258.70 / $337.33
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.03 / $366.34 / $385.84
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.78 / $243.78 / $326.36
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.91 / $243.78 / $326.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.77 / $231.47 / $359.56
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.79 / $344.79 / $344.79
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.79 / $344.79 / $385.84