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Alaska rates for HCPCS E1237

Wheelchair, pediatric size, rigid, adjustable, without seating system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,398.83 / $2,398.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,071.52 / $1,096.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $1,000.00 / $1,819.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,479.11 / $2,398.83
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $223.87 / $2,238.72
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $467.74 / $2,238.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,288.25 / $1,905.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,071.52 / $2,137.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $588.84 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $2,089.30 / $3,801.89