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Oregon 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
$5,055.57 / $5,055.57 / $5,055.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,874.18 / $2,874.18 / $5,055.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,282.89 / $3,282.89 / $3,282.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.28 / $2,790.46 / $3,282.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,649.56 / $14,943.88 / $16,208.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,874.18 / $5,112.50 / $6,328.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.67 / $586.34 / $4,507.72
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,752.96 / $10,471.70 / $11,532.71
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,467.15 / $11,371.25 / $11,532.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.41 / $4,306.22 / $6,798.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.28 / $549.92 / $3,282.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,715.48 / $2,859.96 / $5,636.40