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Alaska rates for HCPCS E2204

Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 in

Facilitymedian $575 · 10th–90th $110–$1,0960%10%10th90th$575Professionalmedian $741 · 10th–90th $110–$1,1750%10%10th90th$741$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $724.44 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $575.44 / $1,230.27
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $645.65 / $1,096.48
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,096.48 / $3,715.35
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $109.65 / $1,096.48
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $223.87 / $1,096.48
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $537.03 / $794.33
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $575.44 / $1,230.27
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $309.03 / $616.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $1,071.52 / $1,949.84