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North Carolina rates for HCPCS E1235

Wheelchair, pediatric size, rigid, adjustable, with seating system

Facilitymedian $1,288 · 10th–90th $129$12,0230%10%10th90th$1,288Professionalmedian $1,820 · 10th–90th $1,202$1,8200%50%10th$1,820$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,819.70 / $1,819.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,445.44 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $1,445.44 / $3,019.95
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,288.25 / $1,288.25
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $1,819.70 / $2,187.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $758.58 / $1,445.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,071.52 / $1,862.09
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $12,022.64 / $12,022.64