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Connecticut 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
$1,822.43 / $2,412.52 / $2,466.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,936.05 / $2,279.06 / $2,279.06
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 / $1,406.76
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,772.58 / $1,772.58 / $1,772.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.77 / $1,427.98 / $1,919.21