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Idaho rates for HCPCS E0966

Manual Wheelchair Accessory Headrest Extension Each. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.37 / $71.37 / $71.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.37 / $71.37 / $100.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $35.54 / $64.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.22 / $35.54 / $65.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.55 / $53.05 / $99.73
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.95 / $77.02 / $88.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $69.20 / $71.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.10 / $42.36 / $71.37