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Oregon rates for HCPCS E2617

Custom Fabricated Wheelchair Back Cushion Any Size Including Any Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,694.91 / $3,694.91 / $3,694.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.05 / $336.05 / $3,694.91
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 / $405.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.05 / $352.85 / $460.39
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.25 / $938.25 / $79,999.20
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.25 / $938.25 / $938.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.05 / $360.87 / $2,700,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.25 / $405.00 / $2,400,000.00