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New York rates for HCPCS E1235

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

Facilitymedian $891 · 10th–90th $107–$1,4790%10%10th90th$891Professionalmedian $1,549 · 10th–90th $708–$2,5120%20%10th90th$1,549$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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,513.56 / $2,511.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $1,905.46 / $4,570.88
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $2,818.38
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $2,818.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $1,445.44 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $1,230.27 / $1,548.82
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,513.56 / $1,621.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $831.76 / $1,348.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $1,318.26 / $1,862.09
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,479.11 / $1,513.56
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,513.56 / $1,621.81