go back

North Carolina 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
$1,336.68 / $2,168.56 / $2,168.56
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
$229.74 / $1,406.76 / $4,485.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.52 / $2,168.56 / $2,439.63
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,994.00 / $1,994.00 / $1,994.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.89 / $1,218.65 / $2,423.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,835.97 / $14,397.39 / $14,397.39