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Alaska rates for HCPCS E1012

Wheelchair Accessory Addition To Power Seating System Center Mount Power Elevating Leg Rest/ Platform Complete System Any Type Each Deleted 12/31/2004. Previously: Integrated Seating System Planar For Pediatric Wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,423.51 / $1,423.51 / $1,423.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$795.00 / $795.00 / $795.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.75 / $795.00 / $818.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.10 / $745.65 / $1,131.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.79 / $130.85 / $137.74
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.98 / $1,055.90 / $2,798.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.40 / $790.20 / $1,118.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.75 / $795.00 / $818.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.82 / $1,293.41 / $2,361.87