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Maryland rates for HCPCS 97542

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

Facilitymedian $282 · 10th–90th $151$9120%20%10th90th$282Professionalmedian $24 · 10th–90th $18$410%20%10th90th$24$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
$151.36 / $281.84 / $912.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $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
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $27.54 / $29.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $28.18 / $46.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $33.11 / $46.77
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $16.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $33.88 / $40.74
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $42.66 / $50.12