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Pennsylvania rates for HCPCS E1233

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

Facilitymedian $1,288 · 10th–90th $141–$1,9500%20%10th90th$1,288Professionalmedian $1,660 · 10th–90th $1,023–$2,7540%20%10th90th$1,660$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,659.59 / $2,041.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $3,090.30 / $3,090.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,412.54 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,202.26 / $3,548.13
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,479.11 / $1,819.70
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,344.23 / $2,344.23
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,659.59 / $1,905.46
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $2,951.21
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $1,047.13 / $1,949.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,288.25 / $2,398.83