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West Virginia rates for HCPCS E2612

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.46 / $227.55 / $267.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.26 / $245.90 / $330.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.48 / $248.04 / $356.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.78 / $243.78 / $512.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.78 / $297.33 / $327.93
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.48 / $340.48 / $342.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.38 / $226.99 / $422.54