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New York 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 / $667.57 / $821.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.50 / $637.50 / $1,768.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.00 / $405.00 / $413.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.25 / $405.00 / $417.15
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,232.36 / $7,232.36 / $7,232.36
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.00 / $405.00 / $413.10
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.25 / $405.00 / $417.15