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Arizona 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
$737.82 / $1,888.00 / $2,048.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.04 / $85.04 / $106.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,658.20 / $2,210.94 / $3,675.68
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 / $3,123.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.82 / $1,684.13 / $12,092.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.51 / $1,134.22 / $1,721.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.79 / $1,134.22 / $1,639.61