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Arkansas rates for HCPCS E1233

Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,620.91 / $1,620.91 / $1,620.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149,999.85 / $399,999.60 / $999,999.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,672.42 / $3,537.03 / $3,930.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.57 / $309.57 / $309.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.57 / $309.57 / $309.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.76 / $1,406.76 / $1,406.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.80 / $1,406.76 / $1,406.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.60 / $1,309.90 / $1,861.22