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Pennsylvania rates for HCPCS E2612

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

Facilitymedian $204 · 10th–90th $22–$3240%10%10th90th$204Professionalmedian $209 · 10th–90th $162–$4270%10%20%10th90th$209$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
$162.18 / $208.93 / $426.58
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $295.12 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $426.58
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $316.23
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $239.88 / $346.74
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $234.42 / $234.42
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $194.98 / $263.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $363.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $169.82 / $281.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $223.87 / $436.52