go back

California rates for HCPCS E1297

Special wheelchair seat depth, by upholstery

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.77 / $61.49 / $358.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.32 / $8.11 / $211.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.35 / $79.34 / $155.12
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.09 / $147.09 / $147.09
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.90 / $67.15 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $62.10 / $98.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.79 / $62.10 / $166.88
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.09 / $72.09 / $86.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.54 / $86.97 / $167.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.03 / $640.17 / $640.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.01 / $79.34 / $124.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.79 / $62.10 / $82.64
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.49 / $234.49 / $234.49
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.09 / $72.09 / $99.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.62 / $61.98 / $106.19