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Kansas rates for HCPCS E1233

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $2,754.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,862.09 / $2,754.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,019.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $1,412.54 / $4,466.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,949.84 / $13,803.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,318.26 / $2,238.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $891.25 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,380.38 / $2,238.72