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Washington rates for HCPCS E1231

Wheelchair Pediatric Size Tilt-N-Space Rigid Adjustable With Seating System

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,751.72 / $1,751.72 / $2,550.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.89 / $100.00 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,844.50 / $1,844.50 / $2,236.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.67 / $783.67 / $783.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $76.50 / $93.50
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,577.64 / $4,577.64 / $4,577.64
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,577.64 / $4,577.64 / $4,577.64
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,031.05 / $2,031.05 / $2,031.05