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West Virginia 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
$1,626.42 / $1,913.33 / $2,033.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.22 / $247.66 / $2,716.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.22 / $216.70 / $2,925.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.76 / $1,406.76 / $3,117.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.80 / $1,406.76 / $12,235.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.65 / $1,186.52 / $2,215.73