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Texas rates for HCPCS E2612

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

Facilitymedian $282 · 10th–90th $36–$1,7780%10%10th90th$282Professionalmedian $234 · 10th–90th $166–$3020%20%10th90th$234$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
$181.97 / $245.47 / $302.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $28.18 / $28.18
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $524.81
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 / $323.59
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $1,778.28 / $1,778.28
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $371.54 / $524.81
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $302.00 / $363.08
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $89.13
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $302.00 / $524.81
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $295.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $162.18 / $269.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $229.09 / $363.08