go back

Iowa rates for HCPCS E1004

Wheelchair accessory, power seating system, recline only, with mechanical shear reduction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,464.56 / $3,464.56 / $4,170.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,796.05 / $3,178.54 / $4,784.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,282.89 / $3,282.89 / $5,591.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.23 / $5,591.74 / $8,414.06
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.92 / $549.92 / $7,500.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.08 / $6,760.51 / $30,467.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,445.01 / $3,137.98 / $7,832.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.78 / $641.78 / $1,516.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.82 / $766.95 / $1,516.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,803.08 / $3,098.29 / $7,832.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,148.26 / $5,250.96 / $5,250.96