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Connecticut rates for HCPCS E2615

Positioning wheelchair back cushion, posterior-lateral, width less than 22 in, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.60 / $338.29 / $344.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.37 / $338.03 / $338.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.51 / $277.51 / $371.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.88 / $277.51 / $371.51
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.80 / $264.19 / $373.92
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.62 / $357.62 / $357.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.65 / $256.69 / $391.80