go back

Oklahoma 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
$954.99 / $1,621.81 / $2,041.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $269.15 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $1,412.54 / $3,548.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $1,995.26 / $13,803.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,288.25 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $891.25 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,288.25 / $2,041.74