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

Wisconsin rates for HCPCS E1233

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

Rates data updated July 2026.

Facilitymedian $2,042 · 10th–90th $309$5,7540%10%20%10th90th$2,042Professionalmedian $2,042 · 10th–90th $851$3,5480%20%40%10th90th$2,042$10.0$50.0$200.0$1.0K$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
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$5,754.40
Typical High
$5,754.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,162.28
Typical High
$3,981.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$16,218.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$3,890.45
Typical High
$6,165.95
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$1,995.26
Typical High
$2,884.03
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
Medica
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$2,454.71
Typical High
$13,803.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,513.56
Typical High
$2,344.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$204.17
Typical High
$2,570.40
Network Health
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,238.72
Typical High
$2,398.83
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$1,995.26
Typical High
$2,884.03
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
Quartz
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$588.84
Typical High
$676.08
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$5,128.61
Typical High
$14,125.38
Quartz
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$1,202.26
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$912.01
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,513.56
Typical High
$2,691.53