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Maryland 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
$1,133.98 / $1,385.26 / $2,488.34
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,652.00 / $1,652.00 / $1,842.40
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 / $1,027.46 / $1,208.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,144.06 / $2,502.51 / $3,168.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.87 / $1,316.51 / $2,025.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,715.06 / $1,715.06 / $2,290.92