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Pediatric Tilt-in-Space Wheelchair, Rigid, without Seating

Hawaii rates for HCPCS E1233

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

Rates data updated July 2026.

Facilitymedian $1,148 · 10th–90th $155$2,0420%20%10th90th$1,148Professionalmedian $3,162 · 10th–90th $219$4,0740%20%40%10th90th$3,162$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$1,412.54
Typical High
$2,137.96
HMSA
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,311.31
Typical High
$4,265.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$1,047.13
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$2,137.96
Typical High
$2,951.21