go back

Virginia rates for HCPCS E1235

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,604.10 / $1,604.10 / $1,604.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.78 / $1,604.10 / $1,976.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,910.52 / $1,910.52 / $1,910.52
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.82 / $1,590.82 / $1,774.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.60 / $1,436.52 / $1,436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.43 / $1,221.04 / $1,436.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.50 / $2,283.00 / $3,018.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.52 / $1,051.05 / $1,604.10
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,672.00 / $1,672.00 / $1,672.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.10 / $296.99 / $2,138.80
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.10 / $296.99 / $2,138.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.68 / $1,092.43 / $1,695.84