go back

Washington rates for HCPCS E1150

Wheelchair Detachable Arms Desk Or Full Length Swing Away Detachable Elevating Legrests (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.39 / $569.76 / $782.55
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $5,113.54 / $5,113.54
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.61 / $752.54 / $1,196.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.00 / $134.00 / $134.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.90 / $134.00 / $134.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $113.97 / $113.97
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,588.95 / $1,908.53 / $1,935.63
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,588.95 / $1,908.53 / $1,935.63
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.80 / $99.80 / $99.80
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.61 / $1,113.00 / $1,279.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.95 / $76.95 / $93.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.54 / $479.63 / $799.38
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.29 / $592.29 / $592.29