go back

Pennsylvania 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
$1,026.86 / $1,626.42 / $2,033.03
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,357.19 / $3,095.70 / $3,095.70
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
$1,195.75 / $1,406.76 / $4,485.93
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,166.98 / $2,166.98 / $2,321.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.86 / $1,626.42 / $2,033.03
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.76 / $1,406.76 / $1,406.76
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.74 / $1,406.76 / $4,485.93
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,213.37 / $2,946.50 / $2,946.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.49 / $1,405.84 / $2,538.55