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Alaska rates for HCPCS E2633

Wheelchair accessory, addition to mobile arm support, supinator

Facilitymedian $132 · 10th–90th $19–$1950%10%20%10th90th$132Professionalmedian $132 · 10th–90th $19–$2000%10%10th90th$132$10.0$20.0$50.0$100.0$200.0$500.0

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
$107.15 / $131.83 / $199.53
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $70.79 / $218.78
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $141.25 / $194.98
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $186.21 / $630.96
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $18.62 / $186.21
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $38.90 / $186.21
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $158.49
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $70.79 / $120.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $50.12 / $123.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $181.97 / $331.13