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Iowa rates for HCPCS E1231

Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, with seating system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.72 / $1,751.72 / $1,751.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $1,751.72 / $2,411.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.67 / $783.67 / $783.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.36 / $2,569.00 / $4,316.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,685.41 / $2,685.41 / $2,685.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,338.19 / $2,338.19 / $2,685.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,766.44 / $2,236.00 / $2,236.00