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Florida 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 / $544.00 / $821.74
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 / $417.15
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.58 / $517.58 / $517.58
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.58 / $592.38 / $949.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.50 / $637.50 / $637.50