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Washington rates for HCPCS E2626

Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable

Facilitymedian $724 · 10th–90th $60–$8320%50%10th90th$724Professionalmedian $389 · 10th–90th $148–$8910%20%10th90th$389$1.0$5.0$20.0$100.0$500.0$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
$380.19 / $389.05 / $3,162.28
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $707.95 / $707.95
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $758.58 / $831.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $234.42 / $275.42
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $891.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $891.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $562.34 / $870.96
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $724.44 / $851.14
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $776.25 / $851.14
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $602.56 / $831.76
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $147.91 / $660.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $707.95 / $831.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $275.42 / $467.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $363.08 / $707.95