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Alaska rates for HCPCS E1297

Special wheelchair seat depth, by upholstery

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.97 / $121.97 / $121.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $62.10 / $62.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.79 / $62.10 / $63.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.77 / $76.53 / $121.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.49 / $110.67 / $138.85
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.64 / $96.87 / $144.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.30 / $75.12 / $119.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.79 / $62.10 / $63.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.12 / $58.12 / $193.33