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Pediatric Tilt-in-Space Wheelchair, Folding, without Seating

Montana rates for HCPCS E1234

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

Rates data updated July 2026.

Facilitymedian $1,202 · 10th–90th $132$2,1880%10%10th90th$1,202Professionalmedian $1,202 · 10th–90th $85$2,3990%20%10th90th$1,202$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$1,202.26
Typical High
$2,041.74
Providence
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$1,318.26
Typical High
$3,235.94
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,202.26
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$912.01
Typical High
$1,778.28
United
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,122.02
Typical High
$1,737.80