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Rhode Island rates for HCPCS E2612

General Use Wheelchair Back Cushion Width 22 Inches Or Greater Any Height

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.87 / $166.46 / $222.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.30 / $267.41 / $411.67
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.20 / $224.27 / $392.09