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Washington rates for HCPCS E1238

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $2,089.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $831.76 / $977.24
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,238.72 / $2,238.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,238.72 / $2,238.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $245.47 / $2,454.71
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $3,162.28 / $3,890.45
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,801.89 / $3,890.45
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $199.53 / $1,995.26
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $229.09 / $1,995.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $186.21 / $186.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $891.25 / $1,513.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $954.99 / $1,621.81