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Idaho rates for HCPCS E0969

Narrowing Device Wheelchair (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.01 / $163.01 / $163.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.38 / $163.01 / $243.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.41 / $134.41 / $140.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.26 / $134.41 / $154.66
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.04 / $128.38 / $218.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.67 / $207.90 / $218.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.71 / $213.71 / $353.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.80 / $92.80 / $156.63