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Alaska rates for HCPCS E2616

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $758.58 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $380.19 / $389.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $537.03 / $707.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $707.95 / $2,398.83
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $70.79 / $707.95
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $144.54 / $707.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $346.74 / $501.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $380.19 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $218.78 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $691.83 / $1,258.93