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Virginia rates for HCPCS E2612

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

Facilitymedian $229 · 10th–90th $26$4470%10%10th90th$229Professionalmedian $229 · 10th–90th $162$3240%20%10th90th$229$20.0$50.0$100.0$200.0$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
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $229.09 / $288.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $389.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $354.81
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $331.13
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $295.12 / $416.87
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $229.09 / $524.81
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $213.80 / $457.09
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $169.82 / $446.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $162.18 / $281.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $223.87 / $354.81