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Arkansas 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
$1,411.22 / $1,411.22 / $1,411.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149,999.85 / $399,999.60 / $999,999.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,326.69 / $3,079.44 / $3,421.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.52 / $269.52 / $269.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.52 / $269.52 / $269.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.78 / $1,208.78 / $1,953.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.49 / $1,208.78 / $1,953.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.82 / $1,032.95 / $1,793.34