go back

Iowa rates for HCPCS E1232

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,791.78 / $1,791.78 / $2,173.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.18 / $1,648.40 / $2,474.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,219.64 / $1,219.64 / $2,460.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.64 / $3,465.00 / $4,448.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.41 / $284.41 / $3,294.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.68 / $3,227.66 / $13,407.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.80 / $1,378.15 / $3,264.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.68 / $328.68 / $776.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.72 / $393.93 / $776.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.26 / $1,362.45 / $3,123.97
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,124.46 / $2,689.20 / $2,689.20