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Pediatric Tilt-in-Space Wheelchair, Rigid, without Seating

Utah rates for HCPCS E1233

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

Rates data updated July 2026.

Facilitymedian $1,202 · 10th–90th $120$2,0420%20%10th90th$1,202Professionalmedian $851 · 10th–90th $251$2,9510%20%10th90th$851$20.0$100.0$500.0$2.0K

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

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$1,412.54
Typical High
$3,548.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$1,698.24
Typical High
$2,238.72
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,162.28
Typical High
$3,311.31
Select Health
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$316.23
Typical High
$3,162.28
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$316.23
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$1,047.13
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$1,288.25
Typical High
$2,630.27