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Alaska rates for HCPCS E1238

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,398.83 / $2,398.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $977.24 / $1,000.00
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
$199.53 / $223.87 / $2,238.72
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $457.09 / $2,238.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,258.93 / $1,905.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $977.24 / $2,137.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $575.44 / $1,513.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $2,041.74 / $3,801.89