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Washington, DC 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
$1,163.63 / $1,163.63 / $1,163.63
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,652.00 / $1,652.00 / $1,842.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,712.24 / $1,712.24 / $1,712.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.98 / $1,384.89 / $1,384.89