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Iowa rates for HCPCS 97542

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

Facilitymedian $41 · 10th–90th $20–$1450%10%10th90th$41Professionalmedian $25 · 10th–90th $19–$480%10%20%10th90th$25$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$19.95 / $57.54 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $23.99 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $50.12 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $33.11 / $48.98
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $40.74 / $57.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $37.15 / $144.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $37.15 / $199.53
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $47.86 / $97.72
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $36.31
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $54.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $32.36 / $75.86
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $46.77