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Kentucky rates for HCPCS E1234

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,180.04 / $1,180.04 / $1,744.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.00 / $1,447.60 / $1,744.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.36 / $1,289.89 / $1,984.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.57 / $432.00 / $4,320.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.52 / $444.71 / $5,275.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.78 / $1,208.78 / $2,714.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.46 / $1,208.78 / $2,430.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.75 / $235.77 / $2,357.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.15 / $1,157.36 / $1,639.61