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Oregon rates for HCPCS E1195

Heavy-duty wheelchair, fixed full-length arms, swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,306.70 / $1,306.70 / $1,306.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.30 / $877.38 / $1,306.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.05 / $124.05 / $1,223.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,786.42 / $3,862.50 / $4,189.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.61 / $651.19 / $1,872.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.24 / $114.07 / $150.69
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,446.94 / $2,939.10 / $2,980.83
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,446.94 / $2,939.10 / $2,980.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.70 / $480.56 / $1,872.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.05 / $143.43 / $176.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.74 / $738.61 / $1,231.02