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

New Hampshire rates for HCPCS E1234

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

Rates data updated October 2026.

How much does Pediatric Tilt-in-Space Wheelchair, Folding, without Seating cost?

$1,622

Typical negotiated rate. In New Hampshire, October 2026.

Insurers have agreed to pay about $1,622 for this service. Most negotiated rates run $1,175 to $1,995.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,202 · 10th to 90th $1,202 to $1,905Professionalmedian $1,905 · 10th to 90th $1,023 to $2,089
$500$1K$2K$5Kfacility $1,202professional $1,905

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$1,122.02
Typical High
$2,187.76
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,202.26
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$1,174.90
Typical High
$7,585.78
United
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$1,174.90
Typical High
$2,089.30
Well Sense
Setting
Facility
Modifier
None
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46

Where New Hampshire sits

The same service costs 12.9 times more in North Dakota than in Illinois. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Hampshire· 24th of 51

$1,622

ND $3,090IL $240

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.