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Missouri rates for HCPCS 97542

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

Facilitymedian $36 · 10th–90th $22–$590%10%10th90th$36Professionalmedian $24 · 10th–90th $15–$520%20%10th90th$24$10.0$20.0$50.0$100.0$200.0

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
$22.39 / $37.15 / $58.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $22.91 / $52.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $18.20 / $50.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $33.88 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $67.61 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $28.18 / $58.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $30.20 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $30.90 / $199.53
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $33.88 / $45.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $28.84 / $42.66