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Washington rates for HCPCS E2633

Wheelchair accessory, addition to mobile arm support, supinator

Facilitymedian $166 · 10th–90th $13–$1740%50%10th90th$166Professionalmedian $85 · 10th–90th $20–$1950%20%40%10th90th$85$0.2$1.0$5.0$20.0$100.0$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
$85.11 / $85.11 / $707.95
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $158.49 / $158.49
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $169.82 / $186.21
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 / $60.26 / $70.79
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $204.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $204.17
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $125.89 / $199.53
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $173.78
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $134.90 / $190.55
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $30.20 / $151.36
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $162.18 / $186.21
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $60.26 / $107.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $81.28 / $154.88