go back

Wyoming 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
$161.62 / $183.97 / $349.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.22 / $357.22 / $357.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.78 / $243.78 / $498.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.78 / $243.78 / $243.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.15 / $226.27 / $377.12