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Washington rates for HCPCS E2631

Wheelchair accessory, addition to mobile arm support, elevating proximal arm

Facilitymedian $309 · 10th–90th $24–$3160%50%10th90th$309Professionalmedian $166 · 10th–90th $55–$3470%20%10th90th$166$0.5$2.0$10.0$50.0$200.0$1.0K

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
$151.36 / $165.96 / $1,348.96
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $302.00 / $302.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $316.23 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $208.93 / $245.47
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $346.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $346.74
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $239.88 / $338.84
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $316.23
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $257.04 / $354.81
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $54.95 / $275.42
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $302.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $275.42 / $346.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $114.82 / $199.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $151.36 / $295.12