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New York rates for HCPCS E1233

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.22 / $1,822.43 / $2,981.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,279.06 / $2,279.06 / $2,848.83
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.92 / $257.92 / $3,352.96
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.92 / $257.92 / $3,352.96
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 / $1,917.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,980.90 / $2,476.12 / $2,476.12
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.03 / $1,921.04 / $2,476.12
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.76 / $1,406.76 / $1,406.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.74 / $1,406.76 / $1,917.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.77 / $1,561.52 / $2,171.51
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,808.03 / $1,808.03 / $1,808.03
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.03 / $1,808.03 / $2,476.12