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

Utah rates for HCPCS E1234

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

Rates data updated July 2026.

Facilitymedian $1,047 · 10th–90th $105$1,7780%10%20%10th90th$1,047Professionalmedian $741 · 10th–90th $219$2,6300%20%10th90th$741$20.0$50.0$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
$741.31
Median
$741.31
Typical High
$741.31
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
$3,090.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$1,479.11
Typical High
$1,949.84
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,754.23
Typical High
$2,884.03
Select Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$275.42
Typical High
$2,754.23
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$275.42
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$912.01
Typical High
$1,778.28
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$1,122.02
Typical High
$2,290.87