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New York rates for HCPCS E2612

General use wheelchair back cushion, width 22 in or greater, any height, including any type mounting hardware

Facilitymedian $191 · 10th–90th $22–$3390%5%10%10th90th$191Professionalmedian $257 · 10th–90th $162–$4170%10%20%10th90th$257$5.0$20.0$100.0$500.0

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
$154.88 / $239.88 / $363.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $812.83
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $281.84 / $371.54
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $281.84 / $371.54
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 / $323.59
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $776.25
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $263.03 / $346.74
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $389.05
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $363.08 / $389.05
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
$186.21 / $263.03 / $426.58
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $346.74 / $389.05
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $363.08 / $389.05