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Arizona 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
$1,708.97 / $2,352.73 / $2,352.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.67 / $97.67 / $122.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,904.60 / $2,539.46 / $4,221.87
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
$1,195.75 / $1,406.76 / $3,588.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.52 / $1,934.40 / $13,890.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.34 / $1,302.91 / $1,977.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.84 / $1,302.91 / $1,883.37