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

Montana rates for HCPCS E1233

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

Rates data updated October 2026.

How much does Pediatric Tilt-in-Space Wheelchair, Rigid, without Seating cost?

$1,288

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $1,288 for this service. The price depends on where it is billed: about $1,288 from a physician practice, and about $398 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,288$302 to $2,692
FacilityA hospital or hospital-owned outpatient department$398$316 to $1,862

How much rates vary

Facilitymedian $398 · 10th to 90th $316 to $2,399Professionalmedian $1,288 · 10th to 90th $219 to $2,951
$100$200$500$1K$2Kfacility $398professional $1,288

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,398.83
Median
$2,454.71
Typical High
$2,691.53
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$1,412.54
Typical High
$2,344.23
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$398.11
Typical High
$2,398.83
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$398.11
Typical High
$1,905.46
Providence
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$1,412.54
Typical High
$1,862.09
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$2,089.30
Typical High
$3,235.94
Providence
Setting
Professional
Modifier
RR · Rental
Typical Low
$245.47
Median
$323.59
Typical High
$323.59
Providence
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$1,445.44
Median
$2,089.30
Typical High
$2,454.71
United
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,288.25
Typical High
$2,187.76
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$120.23
Median
$131.83
Typical High
$218.78
United
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$912.01
Median
$977.24
Typical High
$1,621.81

Where Montana sits

The same service costs 12.9 times more in North Dakota than in Illinois. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 47th of 51

$1,288

ND $3,548IL $275

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.