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Alaska rates for HCPCS E1028

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $218.78 / $218.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $109.65 / $112.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $23.99 / $125.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $194.98 / $389.05
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $20.89 / $208.93
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $35.48 / $208.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $109.65 / $151.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $109.65 / $162.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $69.18 / $117.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $158.49 / $323.59