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Florida rates for HCPCS 97542

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

Facilitymedian $63 · 10th–90th $19–$2950%5%10%10th90th$63Professionalmedian $23 · 10th–90th $17–$380%20%10th90th$23$10.0$20.0$50.0$100.0$200.0$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
$19.95 / $64.57 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $21.88 / $37.15
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
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $25.12 / $31.62
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $30.90 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $50.12 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $23.44 / $47.86
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $17.78 / $24.55
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $21.38 / $25.12
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $30.90 / $35.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $23.99 / $38.02
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $31.62