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Oregon rates for HCPCS E1233

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,305.01 / $2,305.01 / $2,305.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,547.52 / $1,547.52 / $2,305.01
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
$218.80 / $1,195.75 / $1,406.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,679.22 / $6,813.42 / $7,389.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.57 / $1,624.90 / $3,093.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.33 / $1,832.12 / $2,379.96
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,617.96 / $4,774.41 / $5,258.16
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,316.39 / $5,184.55 / $5,258.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.57 / $1,624.90 / $5,101.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.37 / $294.64 / $1,406.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,100.00 / $1,302.91 / $2,171.51