go back

Alaska rates for HCPCS E1234

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,821.83 / $2,821.83 / $2,821.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.78 / $1,208.78 / $1,208.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.46 / $1,208.78 / $1,245.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.05 / $1,517.53 / $2,257.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.04 / $256.04 / $269.52
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,888.00 / $2,141.19 / $5,753.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,103.08 / $1,487.87 / $2,231.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.46 / $1,208.78 / $1,245.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,268.06 / $2,641.80 / $4,438.22