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Kentucky 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
$1,355.39 / $1,355.39 / $2,003.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,355.39 / $1,882.82 / $2,003.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,329.40 / $1,481.67 / $2,279.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.61 / $495.31 / $4,780.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.57 / $510.79 / $6,059.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.76 / $1,406.76 / $3,117.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.75 / $1,406.76 / $2,791.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.38 / $270.81 / $2,708.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.16 / $1,302.91 / $1,883.37