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Maryland rates for HCPCS E1233

Wheelchair Pediatric Size Tilt-N-Space Rigid Adjustable Without Seating System

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,302.50 / $1,591.11 / $2,168.56
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,897.49 / $1,897.49 / $2,116.17
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 / $1,195.75 / $1,406.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,462.90 / $2,874.66 / $3,639.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.65 / $1,520.06 / $2,326.52
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,970.04 / $1,970.04 / $2,631.35