go back

South Carolina rates for HCPCS E1233

Wheelchair Pediatric Size Tilt-N-Space Rigid Adjustable Without Seating System

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,708.97 / $1,708.97 / $2,168.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,919.00 / $2,215.00 / $2,792.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.76 / $1,406.76 / $1,655.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.74 / $1,406.76 / $1,406.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.52 / $1,708.97 / $2,168.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,994.00 / $1,994.00 / $1,994.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.91 / $899.34 / $1,598.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.00 / $1,302.91 / $1,744.89