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HCPCS E1084-RR

Hemi-wheelchair detachable a

Payer pricing summary

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Low

$113

Average

$146

Median

$126

High

$223

Payer rate distribution

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

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#
1	Anthem facility · fee schedule · outpatient · +1 other terms	6	$128	$130	$19	14%	—	$112 – $184
2	Blue Cross Blue Shield facility · fee schedule · outpatient	5	$122	$122	—	—	—	$122 – $122
3	Humana facility · fee schedule · outpatient	5	$112	$113	$1	1%	—	$112 – $115
4	UnitedHealthcare facility · fee schedule · outpatient	5	$113	$125	$24	19%	—	$113 – $173
5	Aetna facility · fee schedule · outpatient	4	$248	$206	$73	35%	—	$80 – $248
6	WellCare facility · fee schedule · outpatient	4	$122	$122	—	—	—	$122 – $122
7	Cigna facility · fee schedule · outpatient	3	$234	$223	$44	20%	—	$172 – $302
8	Regence facility · fee schedule · outpatient	2	$128	$128	—	—	—	$128 – $128

← Hospitals reporting HCPCS E1084-RR · Snapshot 20261113T090226Z-3ce6c0b8