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Wyoming 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
$1,547.85 / $1,547.85 / $2,710.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,023.10 / $3,023.10 / $3,023.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.76 / $1,406.76 / $2,549.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,406.76 / $1,406.76 / $1,406.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.63 / $1,302.91 / $1,457.41