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Alaska rates for HCPCS E0995

Wheelchair accessory, calf rest/pad, replacement only, each

Facilitymedian $22 · 10th–90th $8–$910%10%10th90th$22Professionalmedian $25 · 10th–90th $8–$810%10%10th90th$25$2.0$5.0$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
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $25.12 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $21.88 / $41.69
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $30.20 / $120.23
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $75.86 / $257.04
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $7.76 / $77.62
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $8.13 / $77.62
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $18.62 / $27.54
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $23.44 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $10.00 / $24.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $75.86 / $208.93