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Arizona rates for HCPCS 97542

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

Facilitymedian $78 · 10th–90th $26–$1660%10%10th90th$78Professionalmedian $24 · 10th–90th $18–$540%20%10th90th$24$0.2$1.0$5.0$20.0$100.0$500.0

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
$47.86 / $109.65 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $21.88 / $52.48
Aetna
Facility/Professional
Professional
Modifier
CO
Typical Low / Median / Typical High
$87.10 / $87.10 / $87.10
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $70.79 / $141.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $22.39 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $57.54 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $30.20 / $52.48
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $30.20 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $30.90 / $199.53
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $28.84 / $45.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $30.20 / $44.67