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Alaska rates for HCPCS E1295

Heavy-duty wheelchair, fixed full-length arms, elevating legrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,794.54 / $1,794.54 / $1,794.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.44 / $1,042.44 / $1,042.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.07 / $886.07 / $886.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.79 / $869.04 / $1,352.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.83 / $162.83 / $162.83
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.60 / $1,425.10 / $3,658.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$631.58 / $891.53 / $1,343.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.07 / $886.07 / $886.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.41 / $1,530.28 / $2,673.94