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California rates for HCPCS E2617

Custom fabricated wheelchair back cushion, any size, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.05 / $360.87 / $1,236.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.99 / $811.99 / $811.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.72 / $36.25 / $36.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.75 / $600.00 / $637.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.00 / $405.00 / $405.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.25 / $405.00 / $750.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.07 / $1,423.00 / $2,353.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.75 / $347.75 / $374.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.05 / $405.00 / $1,236.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.25 / $405.00 / $405.00