go back

Utah rates for HCPCS E1236

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.80 / $626.80 / $626.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.31 / $1,082.51 / $1,082.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.82 / $1,082.51 / $2,655.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.26 / $1,370.66 / $2,173.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.11 / $963.59 / $1,392.92