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HCPCS E0958-RR

Whlchr att- conv 1 arm drive

Payer pricing summary

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Low

$48

Average

$60

Median

$52

High

$94

Payer rate distribution

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Filter by billing methodology

All methodologies Case rate 0 Fee schedule 8 Per diem 0 Percent of billed charges 0 Other 0

Filter by billing class

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#
1	Anthem facility · fee schedule · outpatient · +1 other terms	6	$51	$55	$21	38%	—	$38 – $116
2	Blue Cross Blue Shield facility · fee schedule · outpatient	5	$52	$52	—	—	—	$52 – $52
3	Humana facility · fee schedule · outpatient	5	$48	$48	$1	1%	—	$48 – $49
4	UnitedHealthcare facility · fee schedule · outpatient	5	$44	$50	$13	27%	—	$44 – $77
5	Aetna facility · fee schedule · outpatient	4	$91	$75	$27	35%	—	$29 – $91
6	WellCare facility · fee schedule · outpatient	4	$52	$52	—	—	—	$52 – $52
7	Cigna facility · fee schedule · outpatient	3	$99	$94	$19	20%	—	$72 – $128
8	Regence facility · fee schedule · outpatient	2	$58	$58	—	—	—	$58 – $58

← Hospitals reporting HCPCS E0958-RR · Snapshot 20261113T090226Z-3ce6c0b8