go back

Alaska rates for HCPCS E1030

Wheelchair accessory, ventilator tray, gimbaled

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,473.78 / $1,473.78 / $1,473.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.51 / $606.51 / $606.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.53 / $606.51 / $624.71
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.46 / $790.14 / $1,175.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.30 / $133.31 / $140.33
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.12 / $111.48 / $2,778.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.35 / $774.71 / $1,162.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.53 / $606.51 / $624.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.58 / $1,455.38 / $2,445.03