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

Wisconsin rates for HCPCS E1234

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

Rates data updated July 2026.

Facilitymedian $1,778 · 10th–90th $269$5,0120%10%10th90th$1,778Professionalmedian $1,778 · 10th–90th $741$3,0900%20%10th90th$1,778$10.0$50.0$200.0$1.0K$5.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$5,011.87
Typical High
$5,011.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,754.23
Typical High
$3,467.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$11,481.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$3,388.44
Typical High
$5,370.32
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$1,737.80
Typical High
$2,511.89
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$2,137.96
Typical High
$12,022.64
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,318.26
Typical High
$2,041.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$154.88
Typical High
$2,041.74
Network Health
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,949.84
Typical High
$2,089.30
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$1,737.80
Typical High
$2,511.89
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Quartz
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$512.86
Typical High
$588.84
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$4,466.84
Typical High
$12,302.69
Quartz
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$1,023.29
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$794.33
Typical High
$1,698.24
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,318.26
Typical High
$2,344.23