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Connecticut 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
$1,586.65 / $2,100.40 / $2,147.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,685.46 / $1,984.08 / $1,984.08
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 / $1,208.78
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,543.16 / $1,543.16 / $1,543.16
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,543.16 / $1,543.16 / $1,543.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.80 / $1,243.16 / $1,670.81