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Nationwide rates for HCPCS 97542

Wheelchair management (eg, assessment, fitting, training), each 15 minutes

Facilitymedian $63 · 10th–90th $25$2000%10%10th90th$63Professionalmedian $26 · 10th–90th $18$660%20%10th90th$26$0.1$1.0$10.0$100.0$1.0K$10.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $58.88 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $22.91 / $40.74
Aetna
Facility/Professional
Professional
Modifier
CO
Typical Low / Median / Typical High
$87.10 / $87.10 / $87.10
Aetna
Facility/Professional
Professional
Modifier
CQ
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $95.50 / $239.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $25.70 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $70.79 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $30.90 / $61.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $33.88 / $40.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $31.62 / $61.66