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Michigan rates for HCPCS 97542

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

Facilitymedian $25 · 10th–90th $24$1950%20%10th90th$25Professionalmedian $24 · 10th–90th $18$400%20%10th90th$24$20.0$50.0$100.0

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
$23.99 / $25.12 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $21.88 / $32.36
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
$33.88 / $47.86 / $63.10
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $31.62 / $31.62
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $26.92 / $47.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $46.77 / $75.86
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $25.70 / $85.11
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $28.84 / $50.12
Health Alliance Plan
Facility/Professional
Professional
Modifier
CO
Typical Low / Median / Typical High
$87.10 / $87.10 / $87.10
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $75.86 / $75.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $30.90 / $30.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $28.84 / $41.69